Lactic Acid Bacteria

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Lactic Acid Bacteria

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Food Science and Technology

A Series of Monographs, Textbooks, and Reference Books EDITORIAL BOARD Senior Editors Owen R. Fennema—University of Wisconsin–Madison Y. H. Hui—Science Technology System Marcus Karel—Rutgers University (emeritus) Pieter Walstra—Wageningen University John R. Whitaker—University of California–Davis Additives: P. Michael Davidson—University of Tennessee–Knoxville Dairy science: James L. Steele—University of Wisconsin–Madison Flavor chemistry and sensory analysis: John H. Thorngate III—University of California–Davis Food engineering: Daryl B. Lund—University of Wisconsin–Madison Food lipids and flavors: David B. Min—Ohio State University Food proteins/food chemistry: Rickey Y. Yada—University of Guelph Health and disease: Seppo Salminen—University of Turku, Finland Nutrition and nutraceuticals: Mark Dreher—Mead Johnson Nutritionals Phase transition/food microstructure: Richard W. Hartel—University of Wisconsin–Madison Processing and preservation: Gustavo V. Barbosa-Cánovas—Washington State University–Pullman Safety and toxicology: Sanford Miller—University of Texas–Austin

1. 2. 3. 4.

5. 6. 7.

Flavor Research: Principles and Techniques, R. Teranishi, I. Hornstein, P. Issenberg, and E. L. Wick Principles of Enzymology for the Food Sciences, John R. Whitaker Low-Temperature Preservation of Foods and Living Matter, Owen R. Fennema, William D. Powrie, and Elmer H. Marth Principles of Food Science Part I: Food Chemistry, edited by Owen R. Fennema Part II: Physical Principles of Food Preservation, Marcus Karel, Owen R. Fennema, and Daryl B. Lund Food Emulsions, edited by Stig E. Friberg Nutritional and Safety Aspects of Food Processing, edited by Steven R. Tannenbaum Flavor Research: Recent Advances, edited by R. Teranishi, Robert A. Flath, and Hiroshi Sugisawa

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8. Computer-Aided Techniques in Food Technology, edited by Israel Saguy 9. Handbook of Tropical Foods, edited by Harvey T. Chan 10. Antimicrobials in Foods, edited by Alfred Larry Branen and P. Michael Davidson 11. Food Constituents and Food Residues: Their Chromatographic Determination, edited by James F. Lawrence 12. Aspartame: Physiology and Biochemistry, edited by Lewis D. Stegink and L. J. Filer, Jr. 13. Handbook of Vitamins: Nutritional, Biochemical, and Clinical Aspects, edited by Lawrence J. Machlin 14. Starch Conversion Technology, edited by G. M. A. van Beynum and J. A. Roels 15. Food Chemistry: Second Edition, Revised and Expanded, edited by Owen R. Fennema 16. Sensory Evaluation of Food: Statistical Methods and Procedures, Michael O’Mahony 17. Alternative Sweeteners, edited by Lyn O’Brien Nabors and Robert C. Gelardi 18. Citrus Fruits and Their Products: Analysis and Technology, S. V. Ting and Russell L. Rouseff 19. Engineering Properties of Foods, edited by M. A. Rao and S. S. H. Rizvi 20. Umami: A Basic Taste, edited by Yojiro Kawamura and Morley R. Kare 21. Food Biotechnology, edited by Dietrich Knorr 22. Food Texture: Instrumental and Sensory Measurement, edited by Howard R. Moskowitz 23. Seafoods and Fish Oils in Human Health and Disease, John E. Kinsella 24. Postharvest Physiology of Vegetables, edited by J. Weichmann 25. Handbook of Dietary Fiber: An Applied Approach, Mark L. Dreher 26. Food Toxicology, Parts A and B, Jose M. Concon 27. Modern Carbohydrate Chemistry, Roger W. Binkley 28. Trace Minerals in Foods, edited by Kenneth T. Smith 29. Protein Quality and the Effects of Processing, edited by R. Dixon Phillips and John W. Finley 30. Adulteration of Fruit Juice Beverages, edited by Steven Nagy, John A. Attaway, and Martha E. Rhodes 31. Foodborne Bacterial Pathogens, edited by Michael P. Doyle 32. Legumes: Chemistry, Technology, and Human Nutrition, edited by Ruth H. Matthews 33. Industrialization of Indigenous Fermented Foods, edited by Keith H. Steinkraus 34. International Food Regulation Handbook: Policy • Science • Law, edited by Roger D. Middlekauff and Philippe Shubik 35. Food Additives, edited by A. Larry Branen, P. Michael Davidson, and Seppo Salminen 36. Safety of Irradiated Foods, J. F. Diehl 37. Omega-3 Fatty Acids in Health and Disease, edited by Robert S. Lees and Marcus Karel 38. Food Emulsions: Second Edition, Revised and Expanded, edited by Kåre Larsson and Stig E. Friberg 39. Seafood: Effects of Technology on Nutrition, George M. Pigott and Barbee W. Tucker 40. Handbook of Vitamins: Second Edition, Revised and Expanded, edited by Lawrence J. Machlin 41. Handbook of Cereal Science and Technology, Klaus J. Lorenz and Karel Kulp

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42. Food Processing Operations and Scale-Up, Kenneth J. Valentas, Leon Levine, and J. Peter Clark 43. Fish Quality Control by Computer Vision, edited by L. F. Pau and R. Olafsson 44. Volatile Compounds in Foods and Beverages, edited by Henk Maarse 45. Instrumental Methods for Quality Assurance in Foods, edited by Daniel Y. C. Fung and Richard F. Matthews 46. Listeria, Listeriosis, and Food Safety, Elliot T. Ryser and Elmer H. Marth 47. Acesulfame-K, edited by D. G. Mayer and F. H. Kemper 48. Alternative Sweeteners: Second Edition, Revised and Expanded, edited by Lyn O’Brien Nabors and Robert C. Gelardi 49. Food Extrusion Science and Technology, edited by Jozef L. Kokini, Chi-Tang Ho, and Mukund V. Karwe 50. Surimi Technology, edited by Tyre C. Lanier and Chong M. Lee 51. Handbook of Food Engineering, edited by Dennis R. Heldman and Daryl B. Lund 52. Food Analysis by HPLC, edited by Leo M. L. Nollet 53. Fatty Acids in Foods and Their Health Implications, edited by Ching Kuang Chow 54. Clostridium botulinum: Ecology and Control in Foods, edited by Andreas H. W. Hauschild and Karen L. Dodds 55. Cereals in Breadmaking: A Molecular Colloidal Approach, Ann-Charlotte Eliasson and Kåre Larsson 56. Low-Calorie Foods Handbook, edited by Aaron M. Altschul 57. Antimicrobials in Foods: Second Edition, Revised and Expanded, edited by P. Michael Davidson and Alfred Larry Branen 58. Lactic Acid Bacteria, edited by Seppo Salminen and Atte von Wright 59. Rice Science and Technology, edited by Wayne E. Marshall and James I. Wadsworth 60. Food Biosensor Analysis, edited by Gabriele Wagner and George G. Guilbault 61. Principles of Enzymology for the Food Sciences: Second Edition, John R. Whitaker 62. Carbohydrate Polyesters as Fat Substitutes, edited by Casimir C. Akoh and Barry G. Swanson 63. Engineering Properties of Foods: Second Edition, Revised and Expanded, edited by M. A. Rao and S. S. H. Rizvi 64. Handbook of Brewing, edited by William A. Hardwick 65. Analyzing Food for Nutrition Labeling and Hazardous Contaminants, edited by Ike J. Jeon and William G. Ikins 66. Ingredient Interactions: Effects on Food Quality, edited by Anilkumar G. Gaonkar 67. Food Polysaccharides and Their Applications, edited by Alistair M. Stephen 68. Safety of Irradiated Foods: Second Edition, Revised and Expanded, J. F. Diehl 69. Nutrition Labeling Handbook, edited by Ralph Shapiro 70. Handbook of Fruit Science and Technology: Production, Composition, Storage, and Processing, edited by D. K. Salunkhe and S. S. Kadam 71. Food Antioxidants: Technological, Toxicological, and Health Perspectives, edited by D. L. Madhavi, S. S. Deshpande, and D. K. Salunkhe 72. Freezing Effects on Food Quality, edited by Lester E. Jeremiah 73. Handbook of Indigenous Fermented Foods: Second Edition, Revised and Expanded, edited by Keith H. Steinkraus 74. Carbohydrates in Food, edited by Ann-Charlotte Eliasson

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75. Baked Goods Freshness: Technology, Evaluation, and Inhibition of Staling, edited by Ronald E. Hebeda and Henry F. Zobel 76. Food Chemistry: Third Edition, edited by Owen R. Fennema 77. Handbook of Food Analysis: Volumes 1 and 2, edited by Leo M. L. Nollet 78. Computerized Control Systems in the Food Industry, edited by Gauri S. Mittal 79. Techniques for Analyzing Food Aroma, edited by Ray Marsili 80. Food Proteins and Their Applications, edited by Srinivasan Damodaran and Alain Paraf 81. Food Emulsions: Third Edition, Revised and Expanded, edited by Stig E. Friberg and Kåre Larsson 82. Nonthermal Preservation of Foods, Gustavo V. Barbosa-Cánovas, Usha R. Pothakamury, Enrique Palou, and Barry G. Swanson 83. Milk and Dairy Product Technology, Edgar Spreer 84. Applied Dairy Microbiology, edited by Elmer H. Marth and James L. Steele 85. Lactic Acid Bacteria: Microbiology and Functional Aspects: Second Edition, Revised and Expanded, edited by Seppo Salminen and Atte von Wright 86. Handbook of Vegetable Science and Technology: Production, Composition, Storage, and Processing, edited by D. K. Salunkhe and S. S. Kadam 87. Polysaccharide Association Structures in Food, edited by Reginald H. Walter 88. Food Lipids: Chemistry, Nutrition, and Biotechnology, edited by Casimir C. Akoh and David B. Min 89. Spice Science and Technology, Kenji Hirasa and Mitsuo Takemasa 90. Dairy Technology: Principles of Milk Properties and Processes, P. Walstra, T. J. Geurts, A. Noomen, A. Jellema, and M. A. J. S. van Boekel 91. Coloring of Food, Drugs, and Cosmetics, Gisbert Otterstätter 92. Listeria, Listeriosis, and Food Safety: Second Edition, Revised and Expanded, edited by Elliot T. Ryser and Elmer H. Marth 93. Complex Carbohydrates in Foods, edited by Susan Sungsoo Cho, Leon Prosky, and Mark Dreher 94. Handbook of Food Preservation, edited by M. Shafiur Rahman 95. International Food Safety Handbook: Science, International Regulation, and Control, edited by Kees van der Heijden, Maged Younes, Lawrence Fishbein, and Sanford Miller 96. Fatty Acids in Foods and Their Health Implications: Second Edition, Revised and Expanded, edited by Ching Kuang Chow 97. Seafood Enzymes: Utilization and Influence on Postharvest Seafood Quality, edited by Norman F. Haard and Benjamin K. Simpson 98. Safe Handling of Foods, edited by Jeffrey M. Farber and Ewen C. D. Todd 99. Handbook of Cereal Science and Technology: Second Edition, Revised and Expanded, edited by Karel Kulp and Joseph G. Ponte, Jr. 100. Food Analysis by HPLC: Second Edition, Revised and Expanded, edited by Leo M. L. Nollet 101. Surimi and Surimi Seafood, edited by Jae W. Park 102. Drug Residues in Foods: Pharmacology, Food Safety, and Analysis, Nickos A. Botsoglou and Dimitrios J. Fletouris 103. Seafood and Freshwater Toxins: Pharmacology, Physiology, and Detection, edited by Luis M. Botana 104. Handbook of Nutrition and Diet, Babasaheb B. Desai 105. Nondestructive Food Evaluation: Techniques to Analyze Properties and Quality, edited by Sundaram Gunasekaran 106. Green Tea: Health Benefits and Applications, Yukihiko Hara 107. Food Processing Operations Modeling: Design and Analysis, edited by Joseph Irudayaraj

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108. Wine Microbiology: Science and Technology, Claudio Delfini and Joseph V. Formica 109. Handbook of Microwave Technology for Food Applications, edited by Ashim K. Datta and Ramaswamy C. Anantheswaran 110. Applied Dairy Microbiology: Second Edition, Revised and Expanded, edited by Elmer H. Marth and James L. Steele 111. Transport Properties of Foods, George D. Saravacos and Zacharias B. Maroulis 112. Alternative Sweeteners: Third Edition, Revised and Expanded, edited by Lyn O’Brien Nabors 113. Handbook of Dietary Fiber, edited by Susan Sungsoo Cho and Mark L. Dreher 114. Control of Foodborne Microorganisms, edited by Vijay K. Juneja and John N. Sofos 115. Flavor, Fragrance, and Odor Analysis, edited by Ray Marsili 116. Food Additives: Second Edition, Revised and Expanded, edited by A. Larry Branen, P. Michael Davidson, Seppo Salminen, and John H. Thorngate, III 117. Food Lipids: Chemistry, Nutrition, and Biotechnology: Second Edition, Revised and Expanded, edited by Casimir C. Akoh and David B. Min 118. Food Protein Analysis: Quantitative Effects on Processing, R. K. OwusuApenten 119. Handbook of Food Toxicology, S. S. Deshpande 120. Food Plant Sanitation, edited by Y. H. Hui, Bernard L. Bruinsma, J. Richard Gorham, Wai-Kit Nip, Phillip S. Tong, and Phil Ventresca 121. Physical Chemistry of Foods, Pieter Walstra 122. Handbook of Food Enzymology, edited by John R. Whitaker, Alphons G. J. Voragen, and Dominic W. S. Wong 123. Postharvest Physiology and Pathology of Vegetables: Second Edition, Revised and Expanded, edited by Jerry A. Bartz and Jeffrey K. Brecht 124. Characterization of Cereals and Flours: Properties, Analysis, and Applications, edited by Gönül Kaletunç and Kenneth J. Breslauer 125. International Handbook of Foodborne Pathogens, edited by Marianne D. Miliotis and Jeffrey W. Bier 126. Food Process Design, Zacharias B. Maroulis and George D. Saravacos 127. Handbook of Dough Fermentations, edited by Karel Kulp and Klaus Lorenz 128. Extraction Optimization in Food Engineering, edited by Constantina Tzia and George Liadakis 129. Physical Principles of Food Preservation: Second Edition, Revised and Expanded, Marcus Karel and Daryl B. Lund 130. Handbook of Vegetable Preservation and Processing, edited by Y. H. Hui, Sue Ghazala, Dee M. Graham, K. D. Murrell, and Wai-Kit Nip 131. Handbook of Flavor Characterization: Sensory Analysis, Chemistry, and Physiology, edited by Kathryn D. Deibler and Jeannine Delwiche 132. Food Emulsions: Fourth Edition, Revised and Expanded, edited by Stig E. Friberg, Kåre Larsson, and Johan Sjöblom 133. Handbook of Frozen Foods, edited by Y. H. Hui, Paul Cornillon, Isabel Guerrero Legarreta, Miang H. Lim, K. D. Murrell, and Wai-Kit Nip 134. Handbook of Food and Beverage Fermentation Technology, edited by Y. H. Hui, Lisbeth Meunier-Goddik, Åse Solvejg Hansen, Jytte Josephsen, Wai-Kit Nip, Peggy S. Stanfield, and Fidel Toldrá 135. Genetic Variation in Taste Sensitivity, edited by John Prescott and Beverly J. Tepper 136. Industrialization of Indigenous Fermented Foods: Second Edition, Revised and Expanded, edited by Keith H. Steinkraus

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137. Vitamin E: Food Chemistry, Composition, and Analysis, Ronald Eitenmiller and Junsoo Lee 138. Handbook of Food Analysis: Second Edition, Revised and Expanded: Volumes 1, 2, and 3, edited by Leo M. L. Nollet 139. Lactic Acid Bacteria: Microbiological and Functional Aspects, Third Edition, Revised and Expanded, edited by Seppo Salminen, Atte von Wright, and Arthur Ouwehand 140. Fat Crystal Networks, Alejandro G. Marangoni 141. Novel Food Processing Technologies, edited by Gustavo V. Barbosa-Cánovas, M. Soledad Tapia, and M. Pilar Cano

Additional Volumes in Preparation

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Lactic Acid Bacteria Microbiological and Functional Aspects Third Edition, Revised and Expanded

edited by

Seppo Salminen University of Turku Turku, Finland

Atte von Wright University of Kuopio Kuopio, Finland

Arthur Ouwehand University of Turku Turku, Finland

Marcel Dekker, Inc.

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New York • Basel

Hoang-Dung TRAN and friends The previous edition of this book was published as Lactic Acid Bacteria: Microbiology and Functional Aspects, Second Edition, Revised and Expanded, edited by Seppo Salminen and Atte von Wright, 1998 (Marcel Dekker, Inc.), ISBN: 0-8247-0133-X. Although great care has been taken to provide accurate and current information, neither the author(s) nor the publisher, nor anyone else associated with this publication, shall be liable for any loss, damage, or liability directly or indirectly caused or alleged to be caused by this book. The material contained herein is not intended to provide specific advice or recommendations for any specific situation. Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress. ISBN: 0-8247-5332-1 This book is printed on acid-free paper. Headquarters Marcel Dekker, Inc., 270 Madison Avenue, New York, NY 10016, U.S.A. tel: 212-696-9000; fax: 212-685-4540 Distribution and Customer Service Marcel Dekker, Inc., Cimarron Road, Monticello, New York 12701, U.S.A. tel: 800-228-1160; fax: 845-796-1772 Eastern Hemisphere Distribution Marcel Dekker AG, Hutgasse 4, Postfach 812, CH-4001 Basel, Switzerland tel: 41-61-260-6300; fax: 41-61-260-6333 World Wide Web http://www.dekker.com The publisher offers discounts on this book when ordered in bulk quantities. For more information, write to Special Sales/Professional Marketing at the headquarters address above. Copyright # 2004 by Marcel Dekker, Inc. All Rights Reserved. Neither this book nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Current printing (last digit): 10 9 8 7 6 5 4 3 2 1 PRINTED IN THE UNITED STATES OF AMERICA

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Preface to the Third Edition

This third edition of Lactic Acid Bacteria covers the progress in this field of research over the past five years. The pace of development, already impressive when the second edition was being compiled, has shown no signs of slowing down. Consequently, most chapters in this new edition have been completely rewritten, several new contributors have been recruited, and some totally new chapters have been included, covering topics such as mathematical modeling, vegetable fermentation, methods for analysis of the gut microbiota, and probiotics for fish. It has been more and more of a challenge to keep the volume comprehensive, up-to-date, and concise. While it remains up to the reader to judge how well these goals have been achieved, we feel that the present volume gives a valuable overview of the present status of this rapidly expanding interdisciplinary area of research. As in the previous editions, a special emphasis has been placed on the health aspects of lactic acid bacteria, although, as can be seen in the table of contents, other relevant applications have also been covered. The intended audience includes, among others, microbiologists, food technologists, nutritionists, clinicians, product development experts, and regulatory experts. Seppo Salminen Atte von Wright Arthur Ouwehand

iii Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Preface to the Second Edition

The first edition of Lactic Acid Bacteria was a profound success and well received. This, together with the very rapid progress in the field of research on lactic acid bacteria, has created a need for the second edition of the volume sooner than we had thought. Most of the material has been completely rewritten, and some totally new chapters have been included, although few changes have been made in some technical chapters. Understanding of the scientific basis of probiotic research, which was anticipated in the previous edition, has advanced in great strides. Consequently, new data on immunology, animal probiotics, and the role of propionic acid bacteria have been added. The importance of bacteriophages, both as a practical problem and as a molecular biological tool, has merited a special chapter. Other chapters have been updated for the most recent research findings and regulatory developments. We feel that this book provides the reader with a concise overview of a rapidly progressing field. Thus, it is an invaluable aid in guiding the reader through the web of accumulating new research data and in summarizing the fragmentary information available in specialist publications. Also, recent rapid developments in the area of functional foods should make the present edition valuable to an even wider audience. Seppo Salminen Atte von Wright

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Preface to the First Edition

Lactic acid–producing fermentation is an old invention. Many different cultures in various parts of the world have used it to improve the storage qualities, palatability, and nutritive value of perishable foods such as milk, vegetables, meat, fish, legumes, and cereals. The organisms that produce this type of fermentation, lactic acid bacteria, have had an important role in preserving foods, preventing food poisoning, and indirectly feeding the hungry on every continent. In the developed world, lactic acid bacteria are mainly associated with fermented dairy products such as cheese, buttermilk, and yogurt. The use of dairy starter cultures has become an industry during this century. Because of this, the technological aspects of lactic acid fermentation have been well covered in both research and training in food sciences. Since the days of the Russian scientist Metchnikoff, lactic acid bacteria have also been associated with beneficial health effects. Today an increasing number of health foods and so-called functional foods as well as pharmaceutical preparations are promoted with health claims based on the characteristics of certain strains of lactic acid bacteria. Most of these strains, however, have not been thoroughly studied, and consequently the claims are not well substantiated. Moreover, the accepted standards of clinical protocols, including double-blind randomized study designs, have not been applied in most “healthclaim” studies—health benefits are judged mainly using subjective criteria. Additionally, the specific bacterial strains used in the studies are often poorly identified. Most information about the health effects of lactic acid bacteria is thus anecdotal. There is a clear need for critical study of the effects on health of strain selection and the quality of fermented foods and their ingredients. Clinical studies should be properly conducted as doubleblind, placebo-controlled randomized trials. Both the defined bacterial strains and the proposed products should be studied to verify results. Only such studies produce the solid data that can back up health claims. This book reviews current developments in the study of lactic acid bacteria using the above-mentioned criteria. An overview of the taxonomy and general physiology of lactic acid bacteria is given. A discussion of the genetics of lactic acid bacteria as a future area of interest is included as well as a chapter on the technological aspects of manufacturing functional lactic acid bacteria starters. Many chapters consider our present vii Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

viii

Preface to the First Edition

Hoang-Dung TRAN and friends knowledge of the effects of lactic acid bacteria in human health and disease and as animal probiotics. One chapter of particular interest describes the development of individual lactic acid microflora. It was written by an Estonian research group that worked in association with the former Soviet space program. These results have not been previously published in the West. Thus, this book attempts to shed light on little-known and controversial aspects of lactic acid bacteria and their applications. As new techniques as well as new interest in these organisms develop, the anecdotal evidence on the health benefits of specific strains of lactic acid bacteria is slowly being replaced by a more scientific outlook. This book should serve as an important introduction to any student or scientist interested in these developments. In particular, those working with lactic acid bacteria and fermented foods or feed products within universities and the food industry should find this book most interesting. It will also be helpful to dairy scientists and technologists, both as a textbook and as a handbook for product development. It will be useful to government organizations developing regulatory policies for products based on lactic acid fermentation and bacteria, especially when health claims are concerned. Finally, consumer groups interested in the effects of lactic acid bacteria may benefit from the comprehensive reviews in this volume. Readers are referred to most of the recent literature in the area, covering the subject well from various aspects. Outr aim has been to give an overview of a rapidly changing and extremely important area of food and nutrition research.

Seppo Salminen Atte von Wright

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Contents

Preface to the Third Edition Preface to the Second Edition Preface to the First Edition Contributors 1.

Lactic Acid Bacteria: Classification and Physiology Lars Axelsson

2.

Bifidobacteria and Probiotic Action Jean Ballongue

3.

An Update on Probiotic Bifidobacteria Ross Crittenden

4.

The Probiotic Potential of Propionibacteria Arthur C. Ouwehand

5.

Industrial Use and Production of Lactic Acid Bacteria Annika Ma¨yra¨-Ma¨kinen and Marc Bigret

6.

The Genus Enterococcus: Biotechnological and Safety Issues Charles M. A. P. Franz and Wilhelm H. Holzapfel

7.

Genetics of Lactic Acid Bacteria Lorenzo Morelli, Finn K. Vogensen, and Atte von Wright

8.

Bacteriophage and Antiphage Mechanisms of Lactic Acid Bacteria Jytte Josephsen and Horst Neve

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9.

Hoang-Dung TRAN and friends Mathematical Modeling of Intestinal Bacteria–Host Interactions Yuan-Kun Lee

10.

Methods for Analyzing Gut Microbiota Miguel Gueimonde and Seppo Salminen

11.

Antimicrobial Components from Lactic Acid Bacteria Arthur C. Ouwehand and Satu Vesterlund

12.

Lactic Acid Bacteria as a Tool for Enhancing Food Safety by Removal of Dietary Toxins Hani El-Nezami, Hannu Mykka¨nen, Carolyn Haskard, Seppo Salminen, and Eeva Salminen

13.

Prebiotics and Lactic Acid Bacteria Thea Scantlebury Manning, Robert Rastall, and Glenn Gibson

14.

Lactic Acid Bacteria in Vegetable Fermentations Maarit Ma¨ki

15.

Lactic Acid Bacteria in Cereal-Based Products Hannu Salovaara

16.

Human Lactic Acid Microflora and Its Role in the Welfare of the Host Marika Mikelsaar, Reet Ma¨ndar, Epp Sepp, and Heidi Annuk

17.

Lactic Acid Bacteria and Intestinal Drug and Cholesterol Metabolism Alice H. Lichtenstein and Barry R. Goldin

18.

Human Studies on Probiotics: What Is Scientifically Proven Today? Seppo Salminen, S. Gorbach, Yuan-Kun Lee, and Y. Benno

19.

Safety of Novel Probiotic Bacteria Diana C. Donohue

20.

Lactic Acid Bacteria as Animal Probiotics Juha Nousiainen, Pa¨ivi Javanainen, Jouko Seta¨la¨, and Atte von Wright

21.

Lactic Acid Bacteria in Fish and Fish Farming Einar Ringø

22.

Future Directions of Research and Product Development of Lactic Acid Bacteria Seppo Salminen, Arthur C. Ouwehand, Atte von Wright, and Charles Daly

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Contributors

University of Tartu, Tartu, Estonia

Heidi Annuk

˚ s, Norway MATFORSK, Norwegian Food Research Institute, A

Lars Axelsson

Jean Ballongue Universite´ de Nancy 1, Vandoeuvre-les-Nancy, and Centre de Recherche International Andre´ Gaillard, Ivry-sur-Seine, France Y. Benno

Japanese Collection of Microorganisms, RIKEN, Saitama, Japan BioSav LTD, Montpellier, France

Marc Bigret

Food Science Australia, Werribee, Victoria, Australia

Ross Crittenden

University College Cork, Cork, Ireland

Charles Daly

RMIT University, Melbourne, Australia

Diana C. Donohue

University of Kuopio, Kuopio, Finland

Hani El-Nezami

Charles M. A. P. Franz Federal Research Center for Nutrition and Food, Institute of Hygiene and Toxicology, Karlsruhe, Germany Glenn Gibson

The University of Reading, Reading, England

Barry R. Goldin S. Gorbach

Tufts University School of Medicine, Boston, Massachusetts, U.S.A.

Tufts University, School of Medicine, Boston, Massachusetts, U.S.A.

Miguel Gueimonde

University of Turku, Turku, Finland

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Carolyn Haskard Australia

Hoang-Dung TRAN and friends Australian Water Quality Centre, Salisbury, South Australia,

Wilhelm H. Holzapfel Federal Research Center for Nutrition and Food, Institute of Hygiene and Toxicology, Karlsruhe, Germany Pa¨ivi Javanainen

Valio Ltd, Helsinki, Finland The Royal Veterinary and Agricultural University, Frederiksberg,

Jytte Josephsen Denmark

National University of Singapore, Singapore

Yuan-Kun Lee

Alice H. Lichtenstein USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts, U.S.A. Thea Scantlebury Manning

The University of Reading, Reading, England

Maarit Ma¨ki

MT T Agrifood Research Finland, Jokioinen, Finland

Reet Ma¨ndar

University of Tartu, Tartu, Estonia

Annika Ma¨yra¨-Ma¨kinen Marika Mikelsaar

University of Tartu, Tartu, Estonia Catholic University of Sacred Heart, Piacenza, Italy

Lorenzo Morelli Hannu Mykka¨nen

University of Kuopio, Kuopio, Finland

Federal Research Centre for Nutrition and Food, Kiel, Germany

Horst Neve

Valio Ltd, Helsinki, Finland

Juha Nousiainen

Arthur C. Ouwehand Robert Rastall Einar Ringø

University of Turku, Turku, Finland

The University of Reading, Reading, England

The Norwegian School of Veterinary Science, Tromsø, Norway

Eeva Salminen

Turku University Hospital, Turku, Finland

Seppo Salminen Hannu Salovaara Epp Sepp

Valio LTD, Helsinki, Finland

University of Turku, Turku, Finland University of Helsinki, Helsinki, Finland

University of Tartu, Tartu, Estonia

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Contributors

Hoang-Dung TRAN and friends

Jouko Seta¨la¨

Valio Ltd, Helsinki, Finland

Satu Vesterlund

University of Turku, Turku, Finland

Finn K. Vogensen Denmark

Royal Veterinary and Agricultural University, Frederiksberg,

Atte von Wright University of Kuopio, Kuopio, Finland

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1 Lactic Acid Bacteria: Classification and Physiology LARS AXELSSON MATFORSK, Norwegian Food Research Institute, A˚s, Norway

I.

SUMMARY

Lactic acid bacteria (LAB) constitute a group of gram-positive bacteria united by a constellation of morphological, metabolic, and physiological characteristics. The general description of the bacteria included in the group is gram-positive, nonsporing, nonrespiring cocci or rods, which produce lactic acid as the major end product during the fermentation of carbohydrates. The LAB term is intimately associated with bacteria involved in food and feed fermentation, including related bacteria normally associated with the (healthy) mucosal surfaces of humans and animals. The boundaries of the group have been subject to some controversy, but historically the genera Lactobacillus, Leuconostoc, Pediococcus, and Streptococcus form the core of the group. Taxonomic revisions of these genera and the description of new genera mean that LAB could, in their broad physiological definition, comprise around 20 genera. However, from a practical, food-technology point of view, the following genera are considered the principal LAB: Aerococcus, Carnobacterium, Enterococcus, Lactobacillus, Lactococcus, Leuconostoc, Oenococcus, Pediococcus, Streptococcus, Tetragenococcus, Vagococcus, and Weissella. The genus Bifidobacterium, often considered in the same context as the genuine lactic acid bacteria and sharing some of their typical features, is phylogenetically unrelated and has a unique mode of sugar fermentation. The classification of lactic acid bacteria into different genera is largely based on morphology, mode of glucose fermentation, growth at different temperatures, configuration of the lactic acid produced, ability to grow at high salt concentrations, and acid or alkaline tolerance. Chemotaxonomic markers such as fatty acid composition and constituents of the cell wall are also used in classification. In addition, the present taxonomy relies partly on true phylogenetic relationships,

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Hoang-Dung TRAN and friends which have been revealed by extensive work on determining rRNA sequences. Some of the newly described genera are most easily determined with oligonucleotide probes, polymerase chain reaction (PCR)– based technologies using these sequences, or direct sequencing of the 16S rRNA gene. Most genera in the group form phylogenetically distinct groups, but for some, in particular Lactobacillus and Pediococcus, the phylogenetic clusters do not correlate with the current classification based on phenotypic characters. New tools for classification and identification of LAB are currently replacing and/or complementing the traditional phenotype-based methodologies. The most promising for routine use are 16S rRNA gene sequencing, PCR-based fingerprinting techniques and soluble protein patterns. Two main sugar fermentation pathways can be distinguished among lactic acid bacteria. Glycolysis (Embden-Meyerhof-Parnas pathway) results almost exclusively in lactic acid as the end product under standard conditions, and the metabolism is referred to as homolactic fermentation. The 6-phosphogluconate/phosphoketolase pathway results in significant amounts of other end products such as ethanol, acetate, and CO2 in addition to lactic acid, and the metabolism is referred to as heterolactic fermentation. Various growth conditions may significantly alter the end product formation by some lactic acid bacteria. These changes can be attributed to an altered pyruvate metabolism and/or the use of external electron acceptors such as oxygen, in both a respiratory and a nonrespiratory mode, or organic compounds. Lactic acid bacteria create a proton-motive force mainly by means of a membranelocated Hþ-ATPase at the expense of ATP. The proton-motive force drives the uphill transport of metabolites and ions into the cell. End-product efflux and electrogenic transport of certain compounds may contribute to the formation of a proton-motive force, thus sparing ATP. Sugar transport is mediated mainly by proton-motive force–dependant permease systems or phosphoenolpyruvate : sugar phosphotransferase systems. Certain components of the phosphoenolpyruvate : sugar phosphotransferase system appear to hold key positions in the global regulation of the sugar metabolism in general, beyond any function in sugar transport. Transport of amino acids and other nutrients is generally mediated by proton-motive force– dependent systems, antiport systems, or ATP-driven systems.

II.

GENERAL INTRODUCTION

What is a lactic acid bacterium? Asking this question of scientists in the field would probably result in a fairly uniform answer. This is more because of a historic tradition, rather than the existance of an unequivocal definition of the term. The historic tradition goes back to before the turn of the twentieth century. The term lactic acid bacteria was then used to mean “milk-souring organisms.” Significantly, the first pure culture of a bacterium was “Bacterium lactis” (probably Lactococcus lactis), obtained by J. Lister in 1873. Important progress in the classification of these bacteria was made when the similarity between milk-souring bacteria and other lactic acid – producing bacteria from other sources was recognized[1,2] However, confusion was still prevalent when the monograph of Orla-Jensen[3] appeared. This work had a large impact on the systematics of LAB and, although revised to a considerable extent, the classification basis remains remarkably unchanged. Orla-Jensen used the following characteristics as a basis for classification: morphology (cocci or rods, tetrad formation), mode of glucose fermentation (homo- or heterofermentation), growth at certain “cardinal” temperatures (e.g., 108C and 458C), and range of sugar utilization. As will be seen later in this chapter, these characteristics

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Hoang-Dung TRAN and friends are still very important in the classification of LAB. After the work of Orla-Jensen, the view emerged that the LAB comprised four genera: Lactobacillus, Leuconostoc, Pediococcus, and Streptococcus. There has always been controversy as to the boundaries of the group,[4,5] but that subject will not be dealt with here. The classification section of this chapter will concentrate on what historically constituted these four genera. Since 1985 many new genera have been described, most comprising strains previously included in one of the four mentioned above. Orla-Jensen regarded LAB as a “great natural group,” indicating a belief that the bacteria included were phylogenetically related and separate from other groups. At that time, only phenotypic characters could be examined and evaluated as phylogenetic markers. Today we have the means to examine, in detail, macromolecules of the cell, believed to be more accurate in defining relationships and phylogenetic positions. These are, of course, the nucleic acids. Fortunately, nature has provided us with different kinds of nucleic acids for different types of taxonomic studies. Close relationships (at species and subspecies levels) can be determined with DNA-DNA homology studies,[6] and this method is still used in defining what constitutes a species in the prokaryotic world.[7] For determining phylogenetic positions of species and genera, ribosomal RNA (rRNA) is more suitable, since the sequence contains both well-conserved and less conserved regions. It is now a relatively easy task to determine the sequence of rRNA from bacteria. Initially this was done with the reverse transcriptase technique,[8] but it is now being done by sequencing the corresponding genes using polymerase chain reaction (PCR) technology.[9] Comparisons of these sequences provide the most powerful and accurate technique for determining phylogenetic relationships of microorganisms.[10] With this technique, a more clear picture of the phylogeny of LAB has become evident. In addition, rRNA sequencing is an important aid in the classification of LAB, as exemplified by the descriptions of new genera.[11 – 13] The classification section of this chapter will deal with both the “classical” classification schemes and the current phylogenetic status of LAB. The physiology of LAB has been of interest ever since it was recognized that these bacteria are involved in the acidification of food and feed products. Increased knowledge of LAB physiology, such as metabolism, nutrient utilization, etc., has been one way to achieve more controlled processes. Today, modern genetic techniques are considered to be promising in this regard. However, efforts in this direction may not be fruitful unless there is a sound understanding of the physiology of these bacteria. The attempts at metabolic engineering of Lactococcus lactis [14 – 17] would not have been possible without understanding of the physiology and biochemistry of this organism. In the era of genomics, where some LAB genomes already have been published[18,19] and many more are underway,[20] we will have access to a wealth of genetic data with enormous potential to improve our understanding of these bacteria. Still, such data are meaningless without their elucidation in a physiological context. The fermentative nature of LAB is also of considerable academic interest, since it makes them excellent model systems for the study of energy transduction, solute transport, and membrane biology.[21 – 26] The designation “lactic acid bacteria” perhaps implies that these bacteria have a somewhat simple metabolism, resulting in one or a few fermentation end products. This may be the case in the laboratory environment that we often impose on them. However, it is clear that LAB have a very diverse metabolic ability to adapt to a variety of conditions. The physiology section of this chapter will describe the main features of LAB, such as carbohydrate metabolism and bioenergetics. Some emphasis will be placed on the variations of the general “theme” of metabolism that may occur under certain conditions.

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Hoang-Dung TRAN and friends This volume concerns the technological, nutritional, and health aspects of LAB. This reflects the intimate association of the term with food and feed manufacture. Again, this is perhaps more of a historical tradition than a scientifically reached position, since the group includes bacteria that are highly pathogenic and therefore undesirable in food (e.g., many streptococci). In addition, some lactobacilli and other LAB generally associated with food have been implicated in disease;[27] carnobacteria are normal inhabitants in meat, but are also fish pathogens.[28] There are more examples of the “dual” nature of LAB as a group. The main emphasis in this chapter will be on LAB normally associated with food manufacture and positive health aspects.

III.

CLASSIFICATION OF LACTIC ACID BACTERIA

A.

General Description and Included Genera

An unequivocal definition of the term lactic acid bacteria is not possible to give. Inevitably, most characteristics used in such a definition are subject to more or less qualification,[4] meaning that they are accurate only under “normal” or “standard” conditions and that exceptions to the definition can be found. Therefore, it is more appropriate to describe the typical lactic acid bacterium, which is gram-positive, non– spore-forming, catalase-negative, devoid of cytochromes, of nonaerobic habit but aerotolerant, fastidious, acid-tolerant, and strictly fermentative, with lactic acid as the major end product during sugar fermentation. LAB are generally associated with habitats rich in nutrients, such as various food products (milk, meat, beverages, vegetables), but some are also members of the normal flora of the mouth, intestine, and vagina of mammals. Variations of this general theme are common. It is really only the gram-positive characteristic that cannot be challenged. For instance, catalase and cytochromes may be formed by some LAB on certain media (see below), some streptococci (e.g., Streptococcus bovis) have quite limited nutritional requirements, sugar fermentation may result in very little lactic acid under certain conditions, etc. Furthermore, there are no strong scientific arguments for excluding spore-forming bacteria, which otherwise resemble LAB (i.e., Sporolactobacillus), since some of the genera we consider “genuine” LAB are not clearly separated from these phylogenetically. In this chapter I will follow the historical tradition not to include spore-formers in the LAB group. The above definition, despite its limitations, is useful as a core or center around which the actual descriptions of genera or species are formulated. A key feature of LAB that must be emphasized is the inability to synthesize porphyrin groups (e.g., heme). This is the actual physiological background for some of the characteristics mentioned above. This makes LAB devoid of a “true” catalase and cytochromes when grown in laboratory growth media, which lack heme or related compounds. Under these conditions, considered normal in most studies of these bacteria, LAB do not possess the mechanism of an electron transport chain and rely on fermentation, i.e., substrate-level phosphorylation, for generating energy. Since catalase activity, mediated by a nonheme “pseudocatalase,” can occur in some LAB,[29] the lack of cytochromes may be a more reliable characteristic for preliminary diagnosis than the commonly used catalase test.[4] However, it is important to note that the situation may be totally different if heme (or hemoglobin) is added to the growth medium. A true catalase and even cytochromes may be formed, in some cases resulting in respiration with a functional electron transport chain.[30 – 37]

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Hoang-Dung TRAN and friends It is appropriate to start the introduction to the LAB genera with Bergey’s Manual of 1986, since this edition essentially is the last in a continuoum reflecting the historical tradition dating back to the work of Orla-Jensen (1919). The genera that then fit the general description of the typical LAB were Aerococcus (A.), Lactobacillus (Lb.), Leuconostoc (Ln.), Pediococcus (P.), and Streptococcus (S.). The genus Bifidobacterium is historically also considered to belong to the LAB group. In the 7th edition of Bergey’s Manual of 1957, the bifidobacteria were designated Lb. bifidum. Although Bifidobacterium species do fit the general description above, they are phylogenetically more related to the Actinomycetaceae group of gram-positive bacteria. In addition, they have a special pathway for sugar fermentation, unique to the genus, which clearly separates them from the LAB group. Bifidobacteria will, therefore, not be considered in this general overview of LAB. However, due to their significance in the gastrointestinal tract of animals and humans and possible probiotic action, bifidobacteria are described in more detail elsewhere in this book. Major revisions of the taxonomy of LAB, in particular of the streptococci, were anticipated in Bergey’s Manual of 1986[38,39] and to some extent already realized by the year of that issue. Thus, the former genus Streptococcus was first divided into three: Enterococcus (E.), Lactococcus (Lc.), and Streptococcus sensu stricto.[40 – 42] Later, some motile LAB, otherwise resembling lactococci, were suggested to form a separate genus, Vagococcus (V.).[43] The genera Lactobacillus, Leuconostoc, and Pediococcus have largely remained unchanged, but some rod-shaped LAB, previously included in Lactobacillus, now form the genus Carnobacterium (C.),[28] and the former species Pediococcus halophilus has been raised to genus level, forming the genus Tetragenococcus (T.).[11] A distinct phylogenetic cluster of heterofermentative LAB, including species previously assigned to either Lactobacillus or Leuconostoc, has been suggested to form a separate genus, Weissella (W.).[13] Leuconostoc oenos, the “wine leuconostocs,” has been proposed to form a genus of its own, Oenococcus (O.).[44] New genera, e.g., Alloiococcus, Dolosicoccus, Dolosigranulum, Eremococcus, Facklamia, Globicatella, Helcococcus, Ignavigranum, and Lactosphaera, have also been described to include some strains that were shown to be related to the LAB group, both physiologically and phylogenetically.[45 – 52] These represent special cases and will not be dealt with further. The revisions made since 1986 are supported by extensive chemotaxonomic and genetic data.

B.

Classification at the Genus Level

As mentioned, the general basis for the classification of LAB in different genera has remained largely unchanged since the work of Orla-Jensen.[3] However, with the description of new genera and species it is becoming increasingly difficult to use these classical tests for reliable genus identification. Still, these phenotypic characteristics are useful as a starting point for more sophisticated tests. Although morphology is regarded as questionable as a key characteristic in bacterial taxonomy,[10] it is still important in the current descriptions of the LAB genera. Thus, LAB can be divided into rods (Lactobacillus and Carnobacterium) and cocci (all other genera). One exception is the relatively recently described genus Weissella, which is the first genus in the LAB group that, by definition, can include both cocci and rods.[13] Furthermore, cell division in two perpendicular directions in a single plane [previously incorrectly described as “division in two planes”[53]], leading to tetrad formation, is used as a key characteristic in the differentiation of the cocci. The tetrad-forming genera are Aerococcus, Pediococcus, and Tetragenococcus.

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Hoang-Dung TRAN and friends An important characteristic used in the differentiation of the LAB genera is the mode of glucose fermentation under standard conditions, i.e., nonlimiting concentrations of glucose and growth factors (amino acids, vitamins, and nucleic acid precursors) and limited oxygen availability. Under these conditions LAB can be divided into two groups: the homofermentative, converting glucose almost quantitatively to lactic acid and the heterofermentative, fermenting glucose to lactic acid, ethanol/acetic acid, and CO2. In practice, a test for gas production from glucose will distinguish between the groups.[54] (For a more detailed discussion concerning the metabolic pathways, see Sec. IV.A.) Leuconostocs, oenococci, weissellas, and a subgroup of lactobacilli are heterofermentative; all other LAB are homofermentative. Growth at certain temperatures is used mainly to distinguish between some of the cocci. The “classical” enterococci grow at both 108C and 458C, lactococci and vagococci at 108C, but not at 458C. Streptococci generally do not grow at 108C, while growth at 458C is dependent on the species. Salt tolerance (6.5% NaCl) may also be used to distinguish between enterococci, lactococci/vagococci, and streptococci, although variable reactions can be found among streptococci.[55] Extreme salt tolerance (18% NaCl) is confined to the genus Tetragenococcus. Tolerance to acid and/or alkaline conditions may also be useful. Aerococci, carnobacteria, enterococci, tetragenococci, and vagococci are characterized by growth at relatively high pH, although not all can grow at the standard test pH of 9.6. Formation of the different isomeric forms of lactic acid during fermentation of glucose can be used to distinguish between leuconostocs and most heterofermentative lactobacilli, as the former produce only D -lactic acid and the latter a racemate (DL -lactic acid), but Weissella strains may cause confusion in this regard. A summary of the differentiation of LAB genera with classical phenotypic tests is shown in Table 1. The genus Carnobacterium is indistinguishable from Lactobacillus with these tests, as is Vagococcus from Lactococcus. Vagococcus and Carnobacterium have unique fatty acid compositions, which separate these genera from most other LAB.[28,43] In general, carnobacteria can be distinguished from lactobacilli by their ability to grow at pH 9.0 and inability to grow on acetate media selective for lactobacilli. Pediococci can be confused with aerococci, since the morphology is similar. However, pediococci are more acid-tolerant than aerococci and grow well anaerobically, contrary to the more microaerophilic nature of aerococci.[56] Weissella species can easily be confused with leuconstocs or heterofermentative lactobacilli. Oenococci fall into the Leuconostoc group with the classical tests but are easily distinguished by their extreme acid and ethanol tolerance.[44] It should be noted that there are phenotypic overlaps between genera and exceptions to the general rules outlined in Table 1 can be found. For example, the genus Enterococcus contains many species that do not conform to the classical tests.[57,58] Classification of LAB is becoming dependent on more sophisticated methods, of which direct rRNA sequencing is the most accurate at the genus level. Known rRNA sequences have also been used to develop genus-specific probes.[13,59]

C.

Classification at Species Level

It is impossible within the scope of this review to describe the classification of all species of LAB. The genus Lactobacillus alone includes about 80 recognized species.[60] Therefore, the following section will only be a summary, concentrating on the means by which classification within a genus can be done and mentioning some of the most interesting species from a food technology point of view. For the most recent, comprehensive review on

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Table 1

Differential Characteristics of Lactic Acid Bacteria Rods

Character Tetrad formation CO2 from glucoseb Growth at 108C Growth at 458C Growth in 6.5% NaCl Growth in 18% NaCl Growth at pH 4.4 Growth at pH 9.6 Lactic acide

Cocci

Carnob.

Lactob.

Aeroc.

Enteroc.

Lactoc. Vagoc.

Leucon. Oenoc.

2 2c þ 2 NDd 2 ND 2

2 + + + + 2 + 2 f D , L , DL

þ 2 þ 2 þ 2 2 þ

2 2 þ þ þ 2 þ þ

2 2 þ 2 2 2 + 2

2 þ þ 2 + 2 + 2

L

L

L

D

L

Pedioc.

Streptoc.

Tetragenoc.

Weissella a

þ 2 + + + 2 þ 2 f L , DL

2 2 2 + 2 2 2 2

þ 2 þ 2 þ þ 2 þ

L

L

2 þ þ 2 + 2 + 2 f D , DL

þ , positive; 2, negative; +, response varies between species; ND, not determined. Weissella strains may also be rod-shaped. b Test for homo- or heterofermentation of glucose; negative and positive denotes homofermentative and heterofermentative, respectively. c Small amounts of CO2 can be produced, depending on media. d No growth in 8% NaCl has been reported. e Configuration of lactic acid produced from glucose. f Production of D -, L -, or DL -lactic acid varies between species. a

Hoang-Dung TRAN and friends the taxonomy of LAB, the reader is referred to Volume 2 in the Lactic Acid Bacteria series edited by B. J. B. Wood,[5] which also includes descriptions of the individual species. A review by Stiles and Holzapfel[61] is also very useful. At the time of this writing, the online publication “The Prokaryotes”[62] contains recently updated chapters for lactococci, enterococci, some streptococci, and the “leuconostoc-like” LAB[58,63 – 66] and will certainly be an even more valuable resource in the future as more chapters are updated. As indicated previously, proper classification of LAB is beginning to rely on molecular biology methods, although some of Orla-Jensen’s concepts are still viable. This is perhaps more true regarding classification at the species than at the genus level. In some cases, only an analysis at the nucleic acid level will resolve classification problems. Still, the classical phenotypic/biochemical characterization is important for a preliminary classification as well as learning about the properties of the strains. Some of the characteristics listed in Table 1 are useful also in the classification at species level, e.g., salt and pH tolerance, growth at certain temperatures, and configuration of the lactic acid produced. Other characteristics used in the phenotypic/biochemical characterization of strains are range of carbohydrates fermented, arginine hydrolysis, acetoin formation (Voges-Proskauer test), bile tolerance, type of hemolysis, production of extracellular polysaccharides, growth factor requirements, presence of certain enzymes (e.g., bgalactosidase and b-glucuronidase), growth characteristics in milk, and serological typing. Further characterization includes more molecular/chemotaxonomic approaches, including type of diamino acid in the peptidoglycan, presence and type of teichoic acid, presence and type of menaquinones, guanine þ cytosine (G þ C) ratio of the DNA, fatty acid composition, and electrophoretic mobility of the lactate dehydrogenase (LDH).

1. Enterococcus, Lactococcus, Streptococcus, and Vagococcus As mentioned, the genera Enterococcus, Lactococcus, Streptococcus, and Vagococcus were earlier included in one genus, Streptococcus. For details regarding the major taxonomic revision of the “streptococci,” in the mid-1980s, the reader is referred to a review by Schleifer and Kilpper-Ba¨lz,[67] which summarizes the phenotypical, biochemical, and molecular characteristics of the genera. Historically, serological typing with the Lancefield grouping[68] has been very important in the classification of streptococci. The method is now considered to be less important in classification, but still very useful in the rapid identification of major pathogens.[38,42,54,64] However, there is undoubtedly some correlation between the presence of the group D antigen and the “classical” enterococci. Similarily, the group N antigen is correlated with lactococci, but note that the vagococci also possess the group N antigen.[43] Despite the formation of new genera, the genus Streptococcus sensu stricto is still very large and the classification is difficult. The genus is broadly divided into three groups: pyogenic, oral, and “other” streptococci.[69] Some anaerobic cocci, previously included in the genus as the group “anaerobic streptococci,”[38] were shown to be unrelated to all other streptococci and have been excluded.[42] The pyogenic group contains several famous pathogens, e.g., S. pyogenes and S. agalactiae. Another pathogen, S. pneumoniae, was earlier included in this group, but has been transferred to the oral group, which contains species mostly associated with the oral cavity of humans and animals. Some oral streptococci, e.g., S. mutans, can be causative agents of dental caries, others of infective endocarditis.[38] As a general rule, the pyogenic streptococci are b-hemolytic, while the oral streptococci are a- or nonhemolytic, but exceptions can be found. The sequence of 16S

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Classification and Physiology

9

Hoang-Dung TRAN and friends rRNA has been determined for most species,[70,71] and this has clarified the intrageneric phylogeny. These studies suggest that the oral group can be divided in five phylogenetic subgroups: the anginosus, the mitis, the salivarius, the bovis, and the mutans groups, respectively. Biochemical characteristics, such as carbohydrate fermentation, hydrolysis of arginine, and certain enzyme activities, are used in classification schemes. Genetic fingerprinting techniques, such as RFLP, REP-PCR, and RAPD (see Sec. III.E) have also been employed in the identification and classification of streptococci.[65] Essentially the only streptococcal species associated with food technology is S. thermophilus, which is used in the manufacture of yogurt (in coculture with Lb. delbru¨ckii subsp. bulgaricus) and certain cheeses. S. thermophilus was included in the group “other streptococci” by Schleifer and Kilpper-Ba¨lz[67] and Hardie,[72] but is now in the oral group.[69] A close relationship at the DNA level with S. salivarius has been established.[72,73] Farrow and Collins[73] proposed that S. thermophilus be considered a subspecies of S. salivarius, since DNA-DNA homology values of greater than 70% were determined. Thus, for some time the name S. salivarius subsp. thermophilus was valid. However, the suggestion was later rejected,[42] since an investigation of a large number of strains revealed lower DNA-DNA homology values for some strains. In addition, the large phenotypic differences would justify two separate species. A third species, S. vestibularis, also belongs to this closely related group of streptococci.[71] Heat resistance, the ability to grow at 528C, and the rather limited number of carbohydrates attacked distinguish S. thermophilus from most other streptococci.[72] A species-specific probe for S. thermophilus has been developed.[74] Lactococci are intimately associated with dairy products, but out of the five species currently recognized,[66] only one, Lc. lactis, is actually used in dairy technology. Lc. garviae strains have been associated with bovine mastitis and fish lactococcosis.[66] Three subspecies of Lc. lactis can be distinguished: Lc. lactis subsp. lactis, Lc. lactis subsp. cremoris, and Lc. lactis subsp. hordniae. Only the first two are important in dairy manufacture. Lc. lactis subsp. lactis includes species formerly designated S. lactis subsp. lactis, S. lactis subsp. diacetylactis, and Lactobacillus xylosus.[41] The latter illustrates the fact that morphology can be deceptive in classification of LAB, i.e., the distinction between cocci and rods is not always an easy task. Lc. lactis subsp. cremoris includes species previously designated S. cremoris or S. lactis subsp. cremoris. Lc. lactis subsp. cremoris is distinguished from Lc. lactis subsp. lactis by the inability to (a) grow at 408C, (b) grow in 4% NaCl, (c) hydrolyze arginine, and (d) ferment ribose.[41] The lactis and cremoris subspecies of Lc. lactis have also been shown to be genetically distinct by DNA-DNA homology studies[75] and comparison of 16S rRNA sequences.[76] However, it should be noted that some strains of the subspecies lactis phenotype are genetically subspecies cremoris, among them the laboratory strains commonly used worldwide, MG1363 and LM0230.[77] Common biochemical characteristics (e.g., sugar utilization) can be used to distinguish between the species of lactococci, but genetic methods are also available[76 – 80] (see Sec. III.E). As noted, species of the newly described genus Vagococcus are easily confused with lactococci, but the genera are clearly distinguished by fatty acid composition. Some, but not all strains of vagococci are motile.[43,81] Genus- and species-specific oligonucleotide probes are available for vagococci,[82] which make a reliable identification of these bacteria feasible. Enterococci are not considered to be of particular importance in food technology. Some species, in particular E. faecalis (previously S. faecalis), can be opportunistic

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10

Axelsson

Hoang-Dung TRAN and friends pathogens[83,84] and are, therefore, generally undesirable in food. There is also some concern about the propensity of fecal enterococci to be resistent to antibiotics and to transfer such traits by means of mobile genetic elements.[85,86] Vancomycin resistance and the conjugative transfer of the trait have received special attention in this regard due to the “last resort” status of vancomycin in the treatment of patients infected with multiresistant staphylococci.[87] However, preparations of E. faecium (previously S. faecium) and E. faecalis have been used as probiotics[88,89] and as silage inoculants.[90] The probiotic approach is not far-fetched, since the natural habitat of many enterococci is the intestines of humans and animals.[55] Species of enterococci have also been shown to be present in some local types of cheeses in southern Europe.[91] As mentioned, it is difficult, if not impossible, to definitely assign a strain to the genus with the tests shown in Table 1. Useful additional tests for which a majority of enterococci are positive are the Voges-Proskauer test and fermentation of ribose.[58] With only phenotypic tests, one probably has to identify strains to species level to unambigously show that they are enterococci. Species are differentiated mainly by carbohydrate fermentation patterns, arginine and hippurate hydrolysis, and presence and/or type of menaquinones.[67] A number of genetic methods are also available.[58,92] For further information on identification of enterococci see Devriese et al.[57,58] E. faecalis and E. hirae (in older publications: S. feacalis or S. faecium) have been of great value for general LAB research in being model organisms in physiological studies of, for instance, bioenergetics and membrane biology.[21,23,24]

2. Aerococcus, Pediococcus, and Tetragenococcus Aerococci, pediococci, and tetragenococci constitute the tetradforming LAB. The genus Aerococcus currently contains five species. Aerococci are generally of minor interest in food technology. However, a recent report suggests that some aerococci could be responsible for greening of cooked meat products.[93] Information on the genus Aerococcus is given in a review by Weiss.[94] With the transfer of P. urinae-equi to Aerococcus and P. halophilus to Tetragenococcus, the genus Pediococcus can be described as “the only acidophilic, homofermentative, lactic acid bacteria that divide alternately in two perpendicular directions to form tetrads.”[95] Pediococci are important in food technology in both a negative and positive sense. P. damnosus is a major spoilage organism in beer manufacture, since growth may lead to diacetyl/acetoin formation, resulting in a buttery taste.[96] P. acidilactici and P. pentosaceus are used as starter cultures for sausage making and as silage inoculants.[90,97] Pediococci may also be important constituents of the complex known as the nonstarter lactic acid bacteria (NSLAB), which is involved in the ripening of cheese.[98,99] The main characteristics for distinguishing between the species are the range of sugars fermented, hydrolysis of arginine, growth at different pH levels (7.0 and 4.5), and the configuration of lactic acid produced.[95,96] P. pentosaceus and P. acidilactici are difficult to distinguish using these characteristics but have been shown to be distinct species with DNA-DNA homology studies.[96] These species are also similar in that they may produce a nonheme “pseudocatalase.”[29] Genetic fingerprinting methods are also available for distinguishing pediococci.[100] As mentioned, the genus Tetragenococcus contains strains previously regarded as P. halophilus. Only two species, T. halophilus and T. muriaticus, are currently recognized, but one enterococcal species, E. solitarius, has been shown to be related to Tetragenococcus phylogenetically.[101] In addition to extreme salt tolerance (.18% NaCl), which distinguishes them from other LAB, tetragenococci generally require salt

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Classification and Physiology

11

Hoang-Dung TRAN and friends in the range of 5% NaCl for growth.[96] Tetragenococcus species are important in lactic fermentation of high-salt-containing food, e.g., soy sauce.[96,102,103]

3. Leuconostoc, Oenococcus, and Weissella The genus Leuconostoc was previously defined as being heterofermentative, coccoid LAB producing only D -lactic acid from glucose and not producing ammonia from arginine. The leuconostocs were thus separated from other cocci of the LAB by their heterofermentative metabolism and from heterofermentative lactobacilli by morphology and some key traits. It was, however, easy to confuse leuconostocs with some “coccoid rods” of the heterofermentative lactobacilli. Phylogenetic analysis of the leuconostocs revealed considerable heterogeneity of the genus.[104,105] It was anticipated that Ln. paramesenteroides together with some heterofermentative lactobacilli (e.g., Lb. confusus and Lb. viridescens) could represent the nucleus of a new genus, since this group was separated from both other leuconostocs and lactobacilli. Later, other heterofermentative LAB falling into this group were isolated from meat sources, and the genus Weissella was suggested to comprise these “leuconostoc-like” bacteria.[13] As mentioned, Weissella therefore includes both cocci and rods. These phylogenetic studies also revealed that the so-called wine leuconostocs, alloted to the species Ln. oenos, were only distantly related to other leuconostocs and that this species therefore warranted a separate genus.[104,105] Later, the genus Oenococcus was proposed for these bacteria.[44] Thus, Ln. oenos is now designated O. oeni. It is important to note that although these taxonomic revisions were necessary from a phylogenetic point of view, they do not make the practical classification of “leuconostoc-like” LAB simpler than before. Oenococci are easy distinguishable by their extreme acid and ethanol tolerance, but separating Weissella from Leuconostoc sensu stricto and from some heterofermentative lactobacilli is still problematic. For practical reasons it is best to treat the “leuconostoc-like” LAB as a group and use confirmatory tests to definitely assign genus and species status for a particular strain. The most reliable method to determine if a strain belongs to Weissella is probably to use a genus-specific rRNA probe.[13] For rapid identification of Weissella species, an amplified ribosomal DNA restriction analysis (ARDRA) was recently developed. This method employs both PCR with genus-specific primers and restriction pattern analysis for species determination.[106] Leuconostocs may form significant amounts of diacetyl from citrate in milk, and some species, mainly Ln. mesenteroides subsp. cremoris, have been used in the dairy industry for this purpose. Leuconostocs are also important in spontaneous vegetable fermentations, e.g., sauerkraut, where they often initiate the lactic fermentation.[107] Many Weissella species seem to be associated with meat, where they may proliferate at low temperatures.[13] Recently, and somewhat surprisingly, a bacterium isolated from garden soil was shown to represent a new species of Weissella.[108] Species and subspecies of Leuconostoc and Weissella are distinguished by characteristics such as carbohydrate fermentation patterns, dextran formation (from sucrose), hydrolysis of esculine, growth requirements, growth at different pH and temperatures, and dissimilation of citrate and/or malate, but classification is difficult.[13,63,109,110] The dissimilation of malate requires attention, as this metabolism results in L -lactic acid.[111] Hence, care must be taken that malate is not present in the growth medium when the configuration of the lactic acid (from glucose fermentation) is to be determined.[109] Ribotyping and PCR-based methods (see Sec. III.E) have also been used successfully for distinguishing the Leuconostoc-like LAB.[63]

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4. Lactobacillus and Carnobacterium The genus Lactobacillus is by far the largest of the genera included in LAB. It is also very heterogeneous, encompassing species with a large variety of phenotypic, biochemical, and physiological properties. The heterogeneity is reflected by the range of mol% G þ C of the DNA of species included in the genus. This range is 32 – 55%, twice the span usually accepted for a single genus.[112] The heterogeneity and the large number of species are due to the definition of the genus, which essentially is rod-shaped lactic acid bacteria. Such a definition is comparable to an arrangement where all the coccoid LAB were included in one genus. However, among the cocci, phenotypic traits were early recognized, which made differentiation into several genera possible. Even if the situation was more difficult for the rod-shaped LAB, Orla-Jensen (1919) essentially tried to divide this group in a way similar to that with the cocci. Thus, the subgenera of Lactobacillus were created: Thermobacterium, Streptobacterium, and Betabacterium. Remarkably, this division is still valid to a considerable degree, although the designations have been dropped and some modifications in the definitions of the subgroups have been made.[113,114] Table 2 shows a summary of the characteristics used to distinguish between the three groups and some of the more well-known species included in each group. The physiological basis for the division is (generally) the presence or absence of the key enzymes of homo- and heterofermentative sugar metabolism, fructose-1,6-diphosphate aldolase and phosphoketolase, respectively.[113,115,116] (For further details regarding the division of LAB in homo- and heterofermentative, see Sec. IV.A.) In the most recent comprehensive description of the genus,[114] the physiological division into the three groups (A, B, and C) was kept, but each species was also assigned a suffix (a, b, or c) to reflect the position in certain phylogenetic clusters (see below). For example, Lb. acidophilus was placed in group Aa and Lb. salivarius in group Ab, since these species belong to different phylogenetic clusters. Note that the cluster c contains those heterofermentative lactobacilli that now should be designated Weissella, e.g., Lb. confusus and Lb. viridescens (see above).

Table 2

Arrangement of the Genus Lactobacillus

Characteristic Pentose fermentation CO2 from glucose CO2 from gluconate FDP aldolase present Phosphoketolase present

Group I, Obligately homofermentative

Group II, Facultatively heterofermentative

Group III, Obligately heterofermentative

2 2 2 þ 2

þ 2 þa þ þb

2 þ þa 2 þ

Lb. casei Lb. curvatus Lb. plantarum Lb. sakei

Lb. brevis Lb. buchneri Lb. fermentum Lb. reuteri

Lb. acidophilus Lb. delbru¨ckii Lb. helveticus Lb. salivarius a

When fermented. Inducible by pentoses. Source: Adapted from Sharpe [117] and Kandler and Weiss [113]. b

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Hoang-Dung TRAN and friends The classical ways of distinguishing between species of lactobacilli have been carbohydrate fermentation patterns, configuration of lactic acid produced, hydrolysis of arginine, growth requirements, and growth at certain temperatures.[54,117] These characteristics are still useful, but proper classification may also require analysis of the peptodoglycan, electrophoretic mobility of the LDH, mol% G þ C of the DNA, and DNA-DNA homology studies.[113,116] Species-specific oligonucleotide probes (derived from rRNA sequences) for a growing number of lactobacilli are now available,[81] possibly providing simpler classification schemes. Different PCR techniques and direct sequencing of PCR fragments (e.g., of rRNA genes) are also offering new possibilities for rapid identification and classification of lactobacilli and LAB in general (see Sec. III.E). Lactobacilli are widespread in nature, and many species have found applications in the food industry. They are generally the most acid-tolerant of the LAB[21] and will, therefore, terminate many spontaneous lactic fermentations such as silage and vegetable fermentations.[107] Lactobacilli are also associated with the oral cavity, gastrointestinal tract, and vagina of humans and animals.[113,117] Some species, e.g., Lb. brevis, Lb. casei, and Lb. plantarum, can be found in many habitats. Others are more specialized and are found only in certain niches, e.g., the sourdough organism Lb. sanfransiscensis and the yogurt-associated Lb. delbrueckii subsp. bulgaricus (previously Lb. bulgaricus). Due to the scope of this chapter, details of the classification of species of lactobacilli are not discussed further. For detailed information on this topic, the reader is referred to the previously mentioned review by Hammes and Vogel.[114] Note, however, that new species are constantly being described. In the first few years of the new millenium (2000 – 2002), approximately 20 new Lactobacillus species were validly published. As mentioned, it has been known for some time that the genus Lactobacillus and its division into the three groups shown in Table 2 are not in accord with natural relationships revealed by phylogenetic analysis[113,118,119] (see below). However, it is not easy to envisage how a new classification system would appear, since it would be difficult to find properties other than rRNA sequences that would constitute a basis for a phylogenetically correct taxonomy. Species of the genus Carnobacterium were originally classified as group III lactobacilli under the designations Lb. divergens, Lb. carnis, and Lb. piscicola.[28,113] Later studies showed that these bacteria were separate from lactobacilli and warranted a separate genus[28] and that the metabolism of glucose was predominantly homofermentative.[120] Generally, carnobacteria grow at relatively high pH (e.g., pH 9), while lactobacilli do not.[121] Furthermore, the fatty acid composition of carnobacteria differs from that of lactobacilli.[28] Carnobacteria are characteristically found in meat and meat products, where they are able to proliferate even at low temperatures.[28] A simple identification key, confirmed by DNA-DNA hybridization, for distinguishing between C. divergens, C. piscicola, and typical meat-associated lactobacilli has been published.[122] In addition, a genus-specific probe has been developed.[59] A rapid method for identification of Carnobacterium isolates from food, based on restriction fragment length polymorphism (RFLP) of PCR-amplified 16S – 23S ribosomal intergenic spacer regions (ISRs), was recently developed.[123]

D.

Phylogeny of the Lactic Acid Bacteria

Comparisons of the sequence of rRNAs is now regarded to be the optimal measure for determining true phylogenetic relations among bacteria.[10] Initially, these comparisons were made by DNA-rRNA hybridizations or oligonucleotide cataloguing (i.e., sequencing

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Hoang-Dung TRAN and friends of cleavage products of rRNA). Advances in molecular genetics techniques have led to methods for sequencing long stretches of rRNA, first by the use of reverse transcriptase,[8] but now by direct PCR sequencing of the rRNA genes. The computerized methods now available for handling large amounts of sequence data have made it possible to construct meaningful phylogenetic trees of the entire bacterial kingdom as well as details of certain parts of it.[10] From the data obtained from both oligonucleotide cataloguing and rRNA sequencing, it has been shown that the gram-positive type cell wall has a relatively strong phylogenetic relevance. The gram-positive bacteria cluster in 2 of the 12 major eubacterial phyla (but not all bacteria in these phyla have a gram-positive cell-wall). It is common to designate the 2 gram-positive phyla the high-G þ C and the low-G þ C subdivision, which reflects the mol% G þ C in the DNA. The “splitpoint” is often set at 50%, but is rather an interval around 53 – 55%, since some species (e.g., Lb. fermentum and Lb. pontis) clearly belonging to the low-G þ C subdivision have a G þ C content in that range. The high-G þ C or Actinomycetes subdivision encompasses genera such as Bifidobacterium, Arthrobacter, Micrococcus, Propionibacterium, Microbacterium, Corynebacterium, Actinomyces, and Streptomyces.[10,118] The low-G þ C or the Clostridium subdivison includes all LAB, together with aerobes and facultative anaerobes like Bacillus, Staphylococus, and Listeria and anaerobes such as Clostridium, Peptococcus, and Ruminococcus.[10,118] The details of the phylogenetic relationships between the LAB genera and also between LAB and other genera of the low-G þ C subdivision were revealed mainly by the extensive work of M.D. Collins with coworkers (but also others) using both reverse transcriptase and PCR sequencing techniques.[11 – 13,43,70,71,101,105,119,124,125] The LAB have been considered to form a “supercluster,” which lies phylogenetically between the strictly anaerobic species (e.g., clostridia) and facultatively or strictly aerobic species (e.g., staphylococci and bacilli), in accord with their lifestyle, i.e., “on the threshhold of anaerobic and aerobic life”.[113,116] This is not entirely true. The schematic phylogenetic tree of the LAB as a group, shown in Fig. 1, and the following discussion is based on the work by Collins and coworkers. As indicated, most genera of the LAB are now partly defined and based on phylogenetic measurements. This is the case for Aerococcus, Carnobacterium, Enterococcus, Lactococcus, Leuconostoc sensu stricto, Oenococcus, Streptococcus sensu stricto, Tetragenococcus, Vagococcus, and Weissella, each of which forms a coherent phylogenetic unit. Among these, a certain clustering is evident. Thus, Carnobacterium, Enterococcus, and Vagococcus form a tight cluster and are more related to each other than to any other LAB. The genera Aerococcus and Tetragenococcus could be included in this cluster as peripheral members. Furthermore, this group of genera appears somewhat closer phylogenetically to aerobes and facultative anaerobes of the low-G þ C subdivision than to the remaining LAB. The genera Lactococcus and Streptococcus are also more related to each other than to other LAB, although this tendency is not as strong as for the Enterococcus group. The “leuconostoc-like” LAB, i.e., Weisella and Leuconostoc sensu stricto, are clearly related, and Oenococcus also belong to this branch, although the evolutionary distance to this genus is large. It has been discussed whether Oenococcus represents a case of a rapidly evolving organism.[44,104] Since the closest relatives of Oenococcus seem to be the “leuconostoc-like” LAB,[105,124] both phylogenetically and physiologically, one can imagine that the adaptation to an unusual habitat (wine) has required extensive changes in the genome, resulting in a rapid divergence from related species.

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Figure 1

Schematic, unrooted phylogenetic tree of the lactic acid bacteria, including some aerobic and facultatively anaerobic gram-positives of the low G þ C subdivision. Note: Evolutionary distances are approximate.

The remaining LAB genera, Lactobacillus and Pediococcus, form a supercluster within LAB, which can be divided into two subclusters, possibly each worthy of genus status.[125] These clusters do not correlate with the physiological subdivision of the genus Lactobacillus as described above (see Table 2). The clusters are (a) the Lb. delbrueckii group, which contains many, but notably not all, of the obligately homofermentative (group I) lactobacilli (e.g., Lb. delbrueckii with subspecies, Lb. acidophilus, Lb. helveticus, and Lb. jensenii) and a few facultatively heterofermentative (group II) lactobacilli and (b) the Lb. casei – Pediococcus group, comprising all other lacobacilli, i.e., the remaining obligately homofermentative, all heterofermentative, and most of the facultatively heterofermentative lactobacilli [note that some species, previously regarded as heterofermentative lactobacilli, now belong to the genus Weissella [13]]. In addition, as the designation indicates, included in the latter group are all species of Pediococcus. All pediococci except P. dextrinicus form a tight cluster within the Lb. casei – Pediococcus group. What conclusions can be drawn from the phylogenetic investigations of LAB? One obvious conclusion, which is no surprise, is that morphology is a poor indicator of relatedness, as shown by the phylogenetic structure of Lactobacillus-Pediococcus and perfectly illustrated by the new genus Weissella. Another conclusion is that future taxonomic

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Hoang-Dung TRAN and friends revisions are still needed, although much has been done during the last 15 years to clarify natural relations and to define genera from such analyses. The main remaining problem is how to deal with the genera Lactobacilus and Pediococcus. As pointed out by Woese [10], it is preferable that there be some correlation between the phylogenetic position of a certain strain or species and its phenotype. The problem lies in how to find the right characteristic(s) that will correlate with true relationships. In 1983 it was suggested that pediococci be included in an “extended” Lactobacillus genus.[126] Phylogenetically this could be correct, but would it be generally accepted? Another solution would be to define smaller phylogenetic clusters as new genera. Consequently, many typical lactobacilli such as Lb. acidophilus, Lb. plantarum, and Lb. fermentum would end up in different genera. As a group, LAB are not clearly separated from all other groups of the low-G þ C subdivision of the gram-positives. In particular, it seems that some LAB “overlap” with some of the more aerobic genera such as Bacillus, Listeria, and Staphylococcus. This has recently been supported by genome sequencing.[19,20] No comprehensive rRNA sequence comparisons between LAB and the strict anaerobes have been made. However, scattered reports including some rRNA sequences and earlier oligonucleotide cataloguing[118] suggest that the evolutionary distance between these groups is quite large. However, it is not clear whether the Enterococcus group is less related to the strict anaerobes than, for instance, the Lb. casei –Pediococcus group. Therefore, the statement that LAB are phylogenetically positioned between the strict anaerobes and the aerobes in accordance with their lifestyle is not correct. Rather, LAB seem to be phylogenetically intermixed with the aerobic and facultatively anaerobic genera of the low-G þ C subdivision of gram-positive bacteria.

E.

New Tools for Classification and Identification

The classification of LAB, described above, is largely based on phenotypic and biochemical characters. In practice, in the routine identification of isolates, these characteristics may not be enough to definitely assign a strain to a particular species. Today, with the availability of rapid and automatic DNA sequencing technology, direct sequencing of the 16S rRNA gene has emerged as the most powerful and relatively easy one-step method for classification of bacteria. The determination of 16S rRNA sequences for the elucidation of the phylogeny of the LAB around 1990 (see above) initiated a rapid development of DNA probes for identification of these bacteria. Before that there had been some attempts to develop DNA probes based on selected fragments of a DNA library, e.g., for Lb. curvatus,[127] Lb. delbrueckii,[128] and Lb. helveticus.[129] Identification of LAB with the use of 16S (or 23S rRNA)-targeted probes was developed and used for lactococci and enterococci,[78,130] lactobacilli from different niches,[131 – 133] carnobacteria from meat,[134] distinguishing vagococci from other LAB,[82] S. thermophilus,[74] and even for distinguishing between the subspecies lactis and cremoris of Lc. lactis.[76] 16S rRNA sequence data from LAB have been accumulated during recent years, and the list of available probes published by Pot et al.[135] has of course expanded considerably since then. For certain applications (e.g., analysis of food samples) it may also be interesting to determine the occurrence of specific groups of LAB. Genus- and group-specific probes have been developed for such purposes.[13,59,82]

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Hoang-Dung TRAN and friends Bacteria typically have five to seven copies of each rRNA gene in the chromosome. This has been exploited in a restriction fragment length polymorphism (RFLP) molecular typing method, more commonly known as ribotyping.[136] This method appears useful for species and subspecies recognition in some cases, e.g., lactococci,[79] Lb. plantarum,[137] and pediococci,[100] but not in others, e.g., Lb. reuteri.[138] It is interesting to note that Lb. reuteri, a quite homogeneous species phenotypically, showed heterogeneous ribopatterns, while Lb. plantarum, phenotypically heterogeneous, had more homogeneous ribopatterns.[137] This method, therefore, has to be evaluated from case to case as to its applicability in strain or species recognition. Automated instruments that generate large databases of reproducible ribopatterns are available,[139] possibly setting the standard for interlaboratory work with this identification method. The PCR technique is becoming more and more useful for classification purposes. With this technique it is possible to amplify a gene or a part of a gene from a very limited number of cells for subsequent DNA sequencing. One of the targets for such an amplification are obviously rRNA genes, and this method has replaced the reverse transcriptase technique for collecting rRNA sequence data for phylogenetic analysis. With automated sequencing systems and convenient direct PCR sequencing methods, it has become an easy task to determine the 16S rRNA sequence from any bacterium in a short time. PCR can also be used in combination with probing techniques[78,82,134] or actually replace them since the oligonucleotide probes designed from 16S rRNA sequencing also can be used in PCR applications. A number of fingerprinting techniques based on PCR have also been developed. The most commonly known is randomly amplified polymorphic DNA (RAPD).[140,141] RAPD has been shown to be applicable for distinguishing strains belonging to the so-called Lb. acidophilus group, which contains six species with similar phenotype that are considered important as candidates for probiotic strains,[142,143] although several methods can be used for this particular cluster of species (see below). In a study of several Lb. plantarum strains, RAPD was found to be more suitable to discriminate between different subtypes of species than ribotyping.[144] The simplicity of this method makes it very attractive, but reproducible results require highly standardized conditions. The method of breaking the cells to obtain a crude DNA preparation is one of the critical steps in this regard.[144] Another fingerprinting PCR-based method with similarities to RAPD is REP-PCR (with variants known as ERIC-PCR and BOX-PCR), which exploits conserved repetitive DNA sequences in bacterial genomes.[145] Reproducibility is claimed to be higher than for RAPD, and successful use for LAB has been reported.[146 – 148] Intergenic spacer sequence polymorphism in variants has also been used in PCR-based methods (tDNAPCR, ISR-PCR) for species identification in LAB.[123,149 – 151] Other genotypic fingerprinting methods are based on restriction endonuclease cleaving of the chromosomal DNA. When rare-cutting enzymes (e.g., NotI) are used, creating large and relatively few fragments, pulse field gel electrophoresis (PFGE) is used to separate the fragments, and the method is often referred to as just PFGE. PFGE is considered the gold standard in classifying bacterial strains with genotypic fingerprinting at the strain level because of its high discriminatory power. This has been shown also for LAB.[152 – 154] PFGE is therefore used as the principal method for creating unique “fingerprints” of defined commercial strains by vendors for starter cultures and/or probiotics. Using enzymes that cut more often complicates the analysis (many more fragments) and requires sophisticated statistical analysis, but the digests can be run on conventional gels, although highly standardized. The method is often referred to as restriction endonuclease analysis

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Hoang-Dung TRAN and friends (REA) and has been successfully used for classifying LAB with very high discriminatory power.[155 – 157] Amplified fragment length polymorphism (AFLP) is a PCR-based REA in which a selected portion of the fragments are amplified, visualized, and the banding pattern analyzed as for other fingerprinting methods.[158] The method has good resolution at the strain level and has the potential to replace PFGE as a standard fingerprinting method. The method was considered very useful in classifying LAB of the Lb. acidophilus group.[143] In several studies the genetic methods described above have been compared in classifying LAB. One of the most extensive and informative studies is still the collective work done by M. Sta˚hl, M.-L. Johansson, and coworkers. They used a set of Lb. reuteri and Lb. plantarum strains and systematically characterized these with phenotypic tests, DNA-DNA homology, REA, automated PCR sequencing of rRNA, ribotyping, and RAPD.[137,138,144,155 – 157,159] This work elegantly shows that each method has advantages and disadvantages and that one single method is not the solution for all applications, but rather that the methods complement each other. Another technique that has proven to be very useful in the classification of LAB is soluble protein patterns. The technique involves polyacrylamide gel electrophoresis of whole cell proteins and statistical analyses of the patterns obtained (for reviews, see Refs.[160] and [161]. A database of digitized and normalized patterns from a large number of LAB was constructed,[135] and the similarity clusters clearly correlate with results based on genetic data, i.e., rRNA sequences and DNA-DNA homologies.[135,160,162] The method can be used directly as a screening method to assign a particular strain to a species when the pattern is compared with those in the database. As for other methods involving a statistical analysis of banding patterns, standardization is the key to reproducible results. In contrast to methods analyzing patterns derived from DNA, growth conditions are extremely important since the protein composition of the cells may vary depending on media, temperature, etc. Therefore, interlaboratory comparisons of patterns may not be reliable.[161] To summarize, a number of alternatives to classical phenotypic/biochemical identification of LAB have emerged since 1990. Which one to use is often a matter of taste, probably depending on what methods a particular laboratory starts to use. Each method has its advantages and disadvantages. For thorough identification/classification in bacterial systematics, it is still recommended to apply a polyphasic approach,[163] i.e., using several phenotypic, chemotaxonomic, and genotypic methods.

IV.

METABOLISM OF LACTIC ACID BACTERIA

The essential feature of LAB metabolism is efficient carbohydrate fermentation coupled to substrate-level phosphorylation. The generated ATP is subsequently used for biosynthetic purposes. LAB as a group exhibit an enormous capacity to degrade different carbohydrates and related compounds. Generally, the predominant end product is, of course, lactic acid (.50% of sugar carbon). It is clear, however, that LAB adapt to various conditions and change their metabolism accordingly. This may lead to significantly different end product patterns. This section will describe the well-known fermentation pathways and how various sugars are fermented. It will also show some of the more unusual features of LAB metabolism, which may be of importance in their natural habitat.

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A.

Major Fermentation Pathways

1. Hexose Fermentation As mentioned in the classification section in this chapter, there are two major pathways for hexose (e.g., glucose) fermentation within LAB (Fig. 2). The transport and phosphorylation of glucose may occur as outlined, i.e., transport of free sugar and phosphorylation by an ATP-dependent glucokinase. Some species use the phosphoenolpyruvate : sugar phosphotransferase system (PTS), in which phosphoenolpyruvate is the phosphoryl donor (see Sec. V.B). In either case, a high-energy phosphate bond is required for activation of the sugar. Glycolysis (Embden-Meyerhof-Parnas pathway), used by all LAB except leuconostocs, group III lactobacilli, oenococci, and weissellas, is characterized by the formation of fructose-1,6-diphosphate (FDP), which is split by a FDP aldolase into dihydroxyacetonephosphate (DHAP) and glyceraldehyde-3-phosphate (GAP). GAP (and DHAP via GAP) is then converted to pyruvate in a metabolic sequence including substrate-level phosphorylation at two sites. Under normal conditions, i.e., excess sugar and limited access to oxygen, pyruvate is reduced to lactic acid by a NADþ-dependent lactate dehydrogenase (nLDH), thereby reoxidizing the NADH formed during the earlier glycolytic steps. A redox balance is thus obtained, lactic acid is virtually the only end product, and the metabolism is referred to as a homolactic fermentation. The other main fermentation pathway has had several designations, such as the pentose phosphate pathway, the pentose phosphoketolase pathway, the hexose monophosphate shunt and, used by Kandler and Weiss[113] in Bergey’s Manual, the 6-phosphogluconate pathway. I will refer to it as the 6-phosphogluconate/phosphoketolase (6-PG/PK) pathway, thereby recognizing a key step in the metabolic sequence (the phosphoketolase split) and at the same time distinguishing it from the bifidum pathway, which also involves phosphoketolase but does not have 6-phosphogluconate as an intermediate.[164] It is characterized by initial dehydrogenation steps with the formation of 6-phosphogluconate, followed by decarboxylation. The remaining pentose-5-phosphate is split by phosphoketolase into GAP and acetyl phosphate. GAP is metabolized in the same way as for the glycolytic pathway, resulting in lactic acid formation. When no additional electron acceptor is available (see Sec. IV.D), acetyl phosphate is reduced to ethanol via acetyl CoA and acetaldehyde. Since this metabolism leads to significant amounts of other end products (CO2, ethanol) in addition to lactic acid, it is referred to as a heterolactic fermentation. The terminology regarding these pathways and the bacteria that use them is rather confusing, and it is perhaps appropriate to add a note of caution. In general, the term “homofermentative LAB” refers to those in the group that use the glycolytic pathway for glucose fermentation, whereas “heterofermentative LAB” are those that use the 6-PG/PK pathway. However, it should be noted that glycolysis may lead to a heterolactic fermentation (meaning significant amounts of end products other than lactic acid) under certain conditions and that some LAB regarded as homofermentative use the 6-PG/PK pathway when metabolizing certain substrates. This will be discussed in more detail later. In theory, homolactic fermentation of glucose results in 2 mol of lactic acid and a net gain of 2 ATP per mol glucose consumed. Heterolactic fermentation of glucose through the 6-PG/PK pathway gives 1 mol each of lactic acid, ethanol, and CO2 and 1 mol ATP/mol glucose. In practice, these theoretical values are seldom obtained. A conversion factor of 0.9 from sugar to end-product carbon is common and probably reflects an

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Figure 2

Major fermentation pathways of glucose: (A) homolactic fermentation (glycolysis, Embden-Meyerhof-Parnas pathway); (B) heterolactic fermentation (6-phosphogluconate/phosphoketolase pathway). Selected enzymes are numbered: 1. Glucokinase; 2. fructose-1,6-diphosphate aldolase; 3. glyceradehyde-3-phosphate dehydrogenase; 4. pyruvate kinase; 5. lactate dehydrogenase; 6. glucose-6-phosphate dehydrogenase; 7. 6-phosphogluconate dehydrogenase; 8. phosphoketolase; 9. acetaldehyde dehydrogenase; 10. alcohol dehydrogenase.

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Hoang-Dung TRAN and friends incorporation of sugar carbon into the biomass, even though most growth factors (e.g., amino acids, nucleotides, and vitamins) are supplied in excess in the rich media frequently used. These complex media may also contribute to other fermentation balances and to the formation of other end products, in particular acetic acid, since compounds like organic acids, amino acids, and sugar residues can alter the fermentation.[115] The presence of oxygen may also have a significant effect on the metabolism (see Ref. 165 and Sec. IV.C). Hexoses other than glucose, such as mannose, galactose, and fructose, are fermented by many LAB. The sugars enter the major pathways at the level of glucose-6-phosphate or fructose-6-phosphate after isomerization and/or phosphorylation. One important exception is galactose metabolism in LAB, which uses a PTS for uptake of this sugar, e.g., Lc. lactis, E. faecalis, and Lb. casei. In these species, the galactose-6-phosphate formed by the PTS is metabolized through the tagatose-6-phosphate pathway[166] (Fig. 3A). Tagatose is a stereoisomer of fructose, but separate enzymes are required for the metabolism of the tagatose derivatives. The tagatose pathway coincides with

Figure 3

Galactose metabolism in lactic acid bacteria: (A) tagatose-6-phosphate pathway; (B) Leloir pathway.

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Hoang-Dung TRAN and friends glycolysis at the level of GAP. Many strains in this category also have the capacity to transport galactose with a permease and convert it to glucose-6-phosphate via the Leloir pathway (Fig. 3B).[167] This pathway is also used by galactose-fermenting LAB that transport galactose with a permease and lack a galactose PTS.[22,98,115]

2. Disaccharide Fermentation Depending on the mode of transport, disaccharides enter the cell either as free sugars or as sugar phosphates. In the former case, the free disaccharides are split by specific hydrolases to monosaccharides, which then enter the major pathways described above. In the latter case, i.e., when sugar PTS are involved, specific phosphohydrolases split the disaccharide phosphates into one part free monosaccharides and one part monosaccharide phosphates. By far the most studied disaccharide metabolism in LAB is lactose fermentation. Most strains of Lc. lactis, at least those used as dairy starters, contain a lactose PTS[168,169] A lactose PTS from Lb. casei is also well characterized.[170] In these strains, lactose enters the cytoplasm as lactose phosphate, which is cleaved by phospho-b-D -galactosidase (P-b-gal) to yield glucose and galactose-6-phosphate. Glucose is phosphorylated by glucokinase and metabolized through the glycolytic pathway, whereas galactose-6-phosphate is metabolized through the tagatose-6-phosphate pathway. The enzyme system of the lactose PTS and P-b-gal are generally inducible and repressed by glucose.[115] The lactose metabolism of Lc. lactis is one of the most well-studied systems of sugar fermentation occurring in LAB. This knowledge is relevant for the understanding of sugar metabolism in general[171] and of the processes of milk fermentation in particular. However, an equally common way to metabolize lactose among LAB is by means of a lactose carrier (permease) and subsequent cleavage by b-galactosidase (b-gal) to yield glucose and galactose,[98,172,173] which may then enter the major pathways. Some reports on this subject would suggest that many LAB contain both a lactose PTS and a lactose permease system for lactose metabolism, since both P-b-gal and b-gal activity were found in the same strains.[172,174] However, low P-b-gal activity in strains with high b-gal activity may represent an artefact, since the artificial substrate used for P-b-gal (ortho-nitrophenylgalactose phosphate) may be hydrolyzed by b-gal or by a phosphatase yielding the substrate for b-gal.[98,174] Some of the thermophilic LAB, e.g., S. thermophilus, Lb. delbrueckii subsp. bulgaricus, Lb. delbrueckii subsp. lactis, and Lb. acidophilus, only metabolize the glucose moiety after transport of lactose and cleavage by b-gal, while galactose is excreted into the medium.[174,175] Lactose transport and metabolism in the economically important species S. thermophilus has also been thoroughly studied.[176] Galactose excretion has been attributed to a low galactokinase activity[174,177] but is also energetically favorable and a feature of the lactose transporter.[176] Maltose fermentation among LAB has been studied most extensively in lactococci. A permease system for transport seems to be operational.[22,178] An interesting feature of maltose metabolism in Lc. lactis 65.1 is that maltose is cleaved by a maltose phosphorylase into glucose and b-glucose-1-phosphate. Only the glucose moiety is used in glycolysis, whereas b-glucose-1-phosphate probably is a precursor for cell wall synthesis.[178] Sucrose fermentation mediated by a permease system is initiated by the cleavage of the sugar by sucrose hydrolase to yield glucose and fructose, which enter the major pathways. In some lactococci, sucrose is transported by sucrose PTS and a specific

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Hoang-Dung TRAN and friends sucrose-6-phosphate hydrolase cleaves the sucrose-6-phosophate to glucose-6-phosphate and fructose.[179] The sucrose PTS and sucrose-6-phosphate hydrolase are induced by the presence of sucrose in the medium.[179] Sucrose may also act as a donor of monosaccharides for exopolysaccharide formation in certain LAB. In dextran production by Ln. mesenteroides, sucrose is cleaved by a cell wall – associated enzyme, dextransucrase. The glucose moiety is used for dextran synthesis and fructose is fermented in the usual manner.[180] Fermentation of other disaccharides, such as cellobiose, melibiose, and trehalose, has not been studied to any large extent. The ability to ferment these sugars differ between different species of LAB. Presumably, the metabolism is mediated by specific transport systems and hydrolases, resulting in the respective monosaccharides (or monosaccharide phosphates), which enter the common pathways.

3. Fermentation of Pentoses and Related Compounds Pentoses are readily fermented by many LAB. In general, specific permeases are used to transport the sugars into the cells. Inside, the pentoses are phosphorylated and converted to ribulose-5-phosphate or xylulose-5-phosphate by epimerases or isomerases.[115] These compounds can then be metabolized by the lower half of the 6-PG/PK pathway (Fig. 2B). This would imply that only heterofermentative LAB can utilize pentoses, but this is not the case. In fact, disregarding some strain and species differences, all genera of LAB are pentose positive with one exception, the group I lactobacilli. Homofermentative LAB that utilize pentoses generally do so in the same way as heterofermentative LAB. The phosphoketolase of these species is induced by substrates fermented by the 6-PG/PK pathway and repressed by glucose.[115,181] The heterolactic fermentation of pentoses results in a different end product pattern compared to glucose fermentation. No CO2 is formed, and since no dehydrogenation steps are necessary to reach the intermediate xylulose-5-phosphate, the reduction of acetyl phosphate to ethanol becomes redundant. Instead, acetyl phosphate is used by the enzyme acetate kinase in a substrate-level phosphorylation step yielding acetate and ATP. Fermentation of pentoses thus leads to production of equimolar amounts of lactic acid and acetic acid. Although gluconate is not a pentose, this is an appropriate place to mention gluconate fermentation, which can be performed by some LAB. Like pentoses, gluconate is fermented by the 6-PG/PK pathway, yielding a heterolactic fermentation by species regarded as homofermentative. The metabolism has been studied in E. faecalis, but a similar pathway may also exist in Lb. casei.[182] In E. faecalis, gluconate is transported by an inducible gluconate-PTS and the resulting 6-phosphogluconate enters the 6-PG/PK pathway.[182] Many group II and group III lactobacilli also ferment gluconate,[113] presumably in a metabolic sequence similar to that for E. faecalis, although transport may be mediated by a permease in some cases. Since a dehydrogenation step is necessary before the phosphoketolase reaction, some acetyl phosphate has to be reduced to ethanol in order to maintain the redox balance. A few species of LAB, e.g., Lb. casei, can grow at the expense of pentitols. These are translocated through the membrane by specific pentitol PTS. The resulting pentitol phosphates are oxidized to pentose phosphates by dehydrogenases and subsequently metabolized through the 6-PG/PK pathway.[182] Similar to gluconate fermentation, some ethanol is produced from acetyl phosphate because of the need to reoxidize the NADH formed during the initial dehydrogenation.

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Hoang-Dung TRAN and friends 4. Sugar Fermentation and Metabolic Categories of LAB

From the descriptions of sugar fermentation patterns of LAB presented above, it is possible to divide the group broadly into three metabolic categories. The genus Lactobacillus contains species that can be placed in all three categories, and this is in fact the basis for the division of the genus into three groups.[114] The first category includes the group I lactobacilli and some individual species from other genera, which are obligately homofermentative, meaning that sugars only can be fermented by glycolysis. The second category includes leuconostocs, group III lactobacilli, oenococci, and weissellas, which are obligately heterofermentative, meaning that only the 6-PG/PK pathway is available for sugar fermentation. The apparent difference on an enzyme level between these two categories is the presence or absence of the key enzymes of glycolysis and 6-PG/PK pathway, FDP aldolase and phosphoketolase, respectively. Obligately homofermentative species possess a constitutive FDP aldolase and lack phosphoketolase, whereas the opposite holds for obligately heterofermentative species.[113,115] This leads to the obvious difference in end product formation from glucose, but also to the inability of the group I lactobacilli to attack pentoses (and gluconate). The third category, including the remaining LAB (i.e., group II lactobacilli and most species of enterococci, lactococci, pediococci, streptococci, tetragenococci, and vagococci), holds an intermediate position. They resemble the obligately homofermentative LAB in that they possess a constitutive FDP aldolase, resulting in the use of glycolysis for hexose fermentation. As mentioned previously, pentoses (and presumably gluconate and pentitols when fermented) induce the synthesis of phosphoketolase, resulting in a heterolactic fermentation. These LAB are thus homofermentative with regard to hexoses and heterofermentative with regard to pentoses and some other substrates and should, therefore, be termed facultatively heterofermentative.[113,115] The position of species in the genus Carnobacterium is somewhat unclear. These bacteria were first classified as heterofermentative (then under the designation Lb. divergens), since gas and acetic acid were produced in significant amounts.[113] Later, more detailed studies showed that glucose is fermented almost entirely to lactic acid, probably by the glycolytic pathway, the other products arising from metabolism of components in the medium other than glucose and/or some deviation of the pyruvate formed by glycolysis.[120] Since carnobacteria generally ferment ribose and gluconate,[28,113] they should probably be regarded as facultatively heterofermentative. Recent reports suggest that there exists some deviation from the normal patterns described above. Some lactobacilli regarded as obligately heterofermentative may in fact possess the apparent missing key enzyme. A strain of Lb. brevis (group III) was shown to ferment fructose by the glycolytic pathway including a fructose-inducible FDP aldolase.[183] The fermentation of a pentose by Lc. lactis IO-1 was shown to result almost exclusively in lactic acid under certain conditions.[184] It was suggested that transaldolases and transketolases of the classical pentose phosphate pathway were involved in converting the substrate for normal glycolysis. Whether these examples represent some exceptional cases or something more general is not clear at the moment. At any rate, the borders between the metabolic categories of LAB may not be as absolute as previously thought. 5. Configuration of Lactic Acid During the fermentation of sugars, different species of LAB produce either exclusively acid, exclusively D -lactic acid, approximately equal amounts of both, or predominantly one form but measurable amounts of the other.[39,113,185] This depends on the L -lactic

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Hoang-Dung TRAN and friends presence of specific NADþ-dependent lactate dehydrogenases (nLDH) and their respective activities. Thus, if both D - and L -lactic acid are formed, there are generally one D-nLDH and one L-nLDH present. Only a few species, e.g., Lb. curvatus and Lb. sakei, produce an enzyme, termed a racemase, which converts L -lactic acid to D -lactic acid.[185] In this case, the L -lactic acid initially produced induces the racemase, which results in a mixture of D - and L -lactic acid. The reason for or possible advantage to producing a mixture of D - and L -lactic acid is not clear. Inctivation of L-nLDH by mutation in a strain of Lb. plantarum did not change the growth rate in laboratory media or the global lactic acid concentration at any stage of the culture. The absence of L -lactic acid was simply accompanied by an increase in D -lactic acid production,[186] indicating that the reduction of pyruvate to lactate is not a rate-limiting step in glycolysis. Worthy of note in this regard is the species Lb. bavaricus, which genetically appears to be a variant of Lb. sakei with no racemase activity and therefore only produces L -lactic acid[187] P. pentosaceus and many lactobacilli change the ratio of the isomers during batch growth. Generally, L -lactic acid is the major form produced in the early growth phase and D -lactic acid in the late to stationary phase.[185] The pH and internal pyruvate concentration have been thought to influence the activities of the LDH and thus the ratio of the isomers at different growth phases,[185] but not much is known in this regard. Lb. casei and lactococci possess an allosteric L-nLDH, which is activated by FDP (see Sec. IV.B). Enterococci and streptococci also possess this type of LDH.[185]

B.

Fates of Pyruvate

It is well known that LAB may change their metabolism in response to various conditions, resulting in a different end-product pattern than seen with glucose fermentation under normal conditions. In most of these cases, the change can be attributed to an altered pyruvate metabolism, the use of external electron acceptors, or both, as these may be connected to each other. This will be discussed below. The essential feature of most bacterial fermentations is the oxidation of a substrate to generate energy-rich intermediates, which subsequently can be used for ATP production by substrate-level phosphorylation. The oxidation results in the formation of NADH from NADþ, which has to be regenerated in order for the cells to continue the fermentation. Pyruvate holds a key position in many fermentations in serving as an electron (or hydrogen) acceptor for this regeneration step. Indeed, this is true in both major fermentation pathways used by LAB (Fig. 2). Under certain circumstances, LAB use alternative ways of utilizing pyruvate than the reduction to lactic acid. The alternative fates of pyruvate are depicted in Fig. 4. Not all of these reactions are used by a single strain, but they represent a summary of the LAB group as a whole.[115] Different species may use different pathways, depending on conditions and enzymatic capacity. Some of these reactions may be operational even under normal glucose fermentation, but then serving an anabolic role. For instance, the formation of acetyl CoA can be required for lipid biosynthesis.[188] 1. The Diacetyl/Acetoin Pathway The pathway(s) leading to diacetyl (butter aroma) and acetoin/2,3-butanediol (Fig. 4) is common among LAB[115] and is very significant technologically in the fermentation of milk.[168,189] However, this metabolism proceeds to a significant degree only if there is a pyruvate surplus in the cell relative to the need for NADþ regeneration. A pyruvate surplus can be created in two ways: (a) a source of pyruvate other than the fermented

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Hoang-Dung TRAN and friends

Figure 4

Pathways for the alternative fates of pyruvate. Dashed arrow denotes a nonenzymatic reaction. Important metabolites and end products are framed. Selected enzymatic reactions are numbered: 1. diacetyl synthase; 2. acetolactate synthase; 3. pyruvate-formate lyase; 4. pyruvate dehydrogenase; 5. pyruvate oxidase; 6. acetate kinase.

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Hoang-Dung TRAN and friends carbohydrate exists in the growth medium and (b) another compound acts as electron acceptor, thus sparing the pyruvate formed by carbohydrate fermentation. The former is what occurs in milk, where additional pyruvate originates from the breakdown of citrate, which is present in significant amounts (1.5 mg/mL). This topic has been studied extensively, and a review by Hugenholtz[190] covers most of the aspects of citrate metabolism in connection with diacetyl/acetoin production in LAB. Citrate is transported into the cell by a citrate permease and cleaved by citrate lyase to yield oxaloacetate and acetate. Oxaloactetate is further decarboxylated to pyruvate and CO2 by oxaloacetate decarboxylase. Species used in the dairy industry for the purpose of diacetyl production are Lc. lactis subsp. lactis (biovar. diacetylactis) and Ln. mesenteroides subsp. cremoris (former name Ln. cremoris or Ln. citrovorum). These species may vary somewhat in induction pattern and pH optimum of the enzymes of citrate dissimilation and diacetyl/acetoin production.[189,191 – 193] In general, low sugar concentrations and low pH favor diacetyl/acetoin formation. Historically, there was some debate as to which of the two possible pathways (Fig. 4) was the most important. Evidence now clearly favors the route via a-acetolactate since a-acetolactate can be detected as an intermediate in cultures producing diacetyl and an a-acetolactate synthase has been identified in several LAB.[190] Diacetyl is formed by chemical decomposition of a-acetolactate (nonenzymatic). This reaction is favored by aeration and low pH. Acetoin and/or 2,3-butanediol is produced in much larger amounts than diacetyl, but does not contribute to the aroma.[193] The extensive knowledge obtained in recent years of this system, both biochemically and genetically, is now being exploited in metabolic engineering strategies to control diacetyl production.[14,15,190,194] Interestingly, one of the approaches was to create a pyruvate surplus according to the second possibility, as mentioned above. By overexpressing NADH oxidase, oxygen could efficiently act as an electron acceptor and the surplus pyruvate could subsequently be diverted to diacetyl by several strategies.[15]

2. The Pyruvate-Formate Lyase System Another “branch” of pyruvate metabolism, shown in Fig. 4, consists of the pyruvateformate lyase system. The enzyme pyruvate-formate lyase catalyzes the reaction of pyruvate and CoA to formate and acetyl CoA. Acetyl CoA may be used either as an electron acceptor, resulting ultimately in ethanol formation, as a precursor for substrate-level phosphorylation via acetyl phosphate, or both. The system has been shown to be operational in several species of LAB.[115] Most notably, the pathway is used by some strains of Lb. casei and Lc. lactis, grown in anaerobic continous culture under substrate limitation, resulting in a change from a homolactic to a heterolactic, in this case mixed acid, fermentation.[195,196] End products formed are lactate, acetate, formate, and ethanol. Larger amounts of the products of the pyruvate-formate lyase system (acetate, formate, and ethanol) are formed with decreasing growth rate, i.e., with lowering of the dilution rate in the continuous culture system.[196] A similar end product pattern is found when some strains of Lc. lactis ferment galactose[167] or maltose.[178] It has been proposed that the change to a mixed acid fermentation by these strains is due to a reduction of the glycolytic rate. This affects the levels of glycolytic intermediates and subsequently the activities of the enzymes that compete for pyruvate, nLDH, and pyruvate-formate lyase. The nLDH:s of Lc. lactis and Lb. casei are allosteric enzymes with a specific requirement for the key glycolytic intermediate FDP (see Fig. 2) for activity.[185] In general, lower intracellular levels of FDP are found in cells of Lc. lactis performing mixed acid fermentation compared to those found in cells during homolactic

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Hoang-Dung TRAN and friends fermentation.[167,178,196] Similarily, the levels of triose phosphates, known inhibitors of pyruvate-formate lyase,[197] are also lower in heterolactic cells.[167] Thus, during a semistarved state, caused by either substrate limitation or the nature of the substrate, the cells respond by regulating certain enzyme activities so as to partly prevent pyruvate from being reduced to lactic acid. Instead, energy can be gained by using the pyruvate-formate lyase pathway, since there is a substrate-level phosphorylation site involving acetyl phosphate and acetate kinase (Fig. 4). Indeed, increased molar growth yield for glucose (Yglc) was obtained in the continuous culture system at low compared to high growth rates,[196] indicating that more ATP/glucose was formed during mixed acid fermentation. Recently, the role of FDP in the shift to heterolactic fermentation has been questioned and the effect of the NADH/NADþ ratio on glyceraldehyde-3-phosphate dehydrogenase and nLDH has been suggested as the main factor.[198,199] FDP could nevertheless have an indirect role by stimulating components involved in global control of carbon metabolism (see Sec. VI). The pyruvate-formate lyase system is only active anaerobically, which is consistent with the enzyme being extremely oxygen sensitive[197,200] and presumably inactivated when cells are exposed to air.

3. The Pyruvate Oxidase Pathway Oxygen has a profound effect on the fate of pyruvate in LAB. This effect may be direct, mediated by the enzyme pyruvate oxidase (Fig. 4), or indirect through reactions of oxygen with the flavin-containing enzymes NADH : H2O2 oxidase and NADH : H2O oxidase.[165] Pyruvate oxidase converts pyruvate to CO2 and acetyl phosphate with the formation of H2O2 (Fig. 4). The enzyme has been suggested to be involved in aerobic metabolism of Lb. plantarum, which forms significant amounts of acetic acid aerobically.[201] In the study by Sedewitz et al.,[201] pyruvate oxidase had the highest activity in the early stationary phase of growth and lactose-grown cells had generally higher levels of the enzyme than glucose-grown cells. Since this strain of Lb. plantarum had much lower growth rate on lactose than on glucose, a possible explanation of the elevated pyruvate oxidase level could be that the levels of glycolytic intermediates in some way regulated enzyme synthesis.[201] A certain similarity to the regulation of the pyruvate-lyase system in Lc. lactis, described above, can thus be noted. 4. The Pyruvate Dehydrogenase Pathway Evidence have been obtained that a pyruvate dehydrogenase enzyme complex is active in lactococci.[188,202,203] The enzyme complex produces acetyl CoA (Fig. 4) and thus resembles the pyruvate-formate lyase system. The study by Cogan et al.[188] indicated that pyruvate dehydrogenase has an anabolic role in producing acetyl CoA for lipid synthesis under aerobic conditions. Anaerobically, this role is probably played by pyruvateformate lyase, which has the advantage of not reducing NADþ in the process. Exposed to air, the cells are dependent on a functional pyruvate dehydrogenase for acetyl CoA production, since pyruvate-formate lyase is inactivated by oxygen. The excess NADH formed can be reoxidized by NADH oxidases. Similar to the pyruvate-formate lyase system, the pyruvate dehydrogenase can also play a role in catabolism, but then primarily under aerobic conditions. The effect can be rather dramatic, however. Aerated cultures of nongrowing cells of Lc. lactis can perform a homoacetic fermentation under substrate limitation.[203] In this case, all the pyruvate generated from glycolysis is channeled through the pyruvate dehydrogenase complex with acetic acid (and presumably CO2) as

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Hoang-Dung TRAN and friends the final product. Under these conditions, the nLDH has probably very low activity and cannot effectively compete for pyruvate. A prerequisite for this metabolism to occur is that the NADH formed during both glycolysis and in the pyruvate dehydrogenase reaction can be reoxidized by NADH oxidases.[203]

C.

Oxygen as Electron Acceptor

In reactions with NADH oxidases, oxygen acts as an external electron acceptor. In many cases this can be advantageous to LAB. NADH oxidases seem to be widespread among LAB, and the systems are often induced by oxygen. The products of the reactions are either NADþ and H2O2 or NADþ and H2O, depending on whether the enzyme mediates a two- or four-electron transfer. Most LAB also possess a NADH peroxidase, which use H2O2 as electron acceptor with the formation of H2O. This reaction may mask initial NADH : H2O2 oxidase activity.[203] NADH oxidases may compete efficiently with nLDH in homofermentative LAB. This may create a situation similar to the breakdown of citrate described earlier, i.e., a pyruvate surplus available for metabolism through the diacetyl/acetoin pathway. Increased production of acetoin in aerated cultures, compared to unaerated, has been shown for Lc. lactis,[188] homofermentative lactobacilli, and carnobacteria.[204] Worthy of note is that heterofermentative LAB (leuconostocs and group III lactobacilli) did not respond to aeration with acetoin production, whereas most of the homofermentative LAB did.[204] The probable explanation is that in heterofermentative LAB, the NADH oxidases do not compete with nLDH, but rather with acetaldehyde dehydrogenase and alcohol dehydrogenase, the enzymes of the ethanol “branch” of the 6-PG/PK pathway (Fig. 2 and see below). Accordingly, a pyruvate surplus is not created and lactic acid remains the main product of pyruvate metabolism. LAB that ferment glucose by the 6-PG/PK pathway use acetyl phosphate (or more accurately, acetyl CoA) as an electron acceptor in addition to pyruvate. Reduction of acetyl phosphate (via acetyl CoA) constitutes the ethanol branch of the pathway. This route is in a way a waste of acetyl phosphate, since this compound can be used in substrate-level phosphorylation with the production of ATP. Heterofermentative LAB may circumvent this waste by using external electron acceptors. As was hinted above, oxygen can play an active role. Lucey and Condon[205] showed that strains of Leuconostoc sp. doubled the Yglc in aerated cultures compared to unaerated. In addition, the growth rate was higher with aeration. The effect was attributed to an active NADH oxidase, which efficiently prevented ethanol formation. Instead, acetate was formed from acetyl phosphate, additional ATP could be produced (by the acetate kinase reaction) and as a consequence Yglc increased. A NADH oxidase – deficient mutant did not shift from ethanol to acetate production and Yglc was the same aerobically and anaerobically, thus supporting the role of NADH oxidase in aerobic metabolism. The shut-off of the ethanol branch of the 6-PG/PK pathway in the presence of oxygen seems to be very common among heterofermentative LAB. However, an increase of Yglc is not always seen.[204] The reason for this is not clear. The active role of oxygen as electron acceptor in the metabolism of LAB is further illustrated by the fact that certain substrates are fermented only when oxygen is available. This is especially true for the fermentation of reduced compounds, such as polyols. Examples are oxygen-dependent glycerol fermentation by P. pentosaceus [206] and mannitol fermentation by Lb. casei.[207] It is also well known that some heterofermentative lactobacilli, most notably strains of Lb. brevis, are almost unable to ferment glucose

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Hoang-Dung TRAN and friends anaerobically, but will ferment it aerobically.[208] This is due to a deficiency in the ethanol branch of the 6-PG/PK pathway, more specifically a lack of acetaldehyde dehydrogenase.[209] The deficiency creates an absolute requirement for an external electron acceptor (e.g., oxygen) in the fermentation of glucose. Even lactate, the end product of “normal” metabolism, can be fermented to acetate and CO2 by some LAB.[210,211] A pathway for this oxygen-dependent lactate fermentation of Lb. plantarum has been proposed, involving NADþ-dependent and/or NADþ-independent LDH, pyruvate oxidase, and acetate kinase.[210] The ATP yield would be 1 ATP per mol lactate consumed. In the presence of heme or hemoglobin in the growth medium, some LAB may change their otherwise fermentative mode of metabolism to a respiratory one, including the formation of cytochromes, the use of oxygen as terminal electron acceptor and increased ATP production, presumably by oxidative phosphorylation. This was first noted and to some extent investigated in enterococci,[31 – 33] but in fact also observed in other LAB such as lactococci and leuconostocs.[212] These observations were long overlooked, but the theme was revived with the complete sequencing of the Lc. lactis IL1403 genome[18,213] and the discovery that this strain harbored the genes for cytochrome oxidase (bd). Data have now accumulated indicating that the respiratory mode of growth of lactococci could be preferred to the “normal” fermentative mode.[37] It is also quite common among LAB to synthesize a “true” catalase in heme-containing media.[29] Apparently, many LAB have the capacity to synthesize the apoenzymes of catalase and/or cytochromes, but as mentioned previously, they are unable to synthesize porphyrins. The true extent of this will certainly be revealed in the near future as many more LAB genomes will be available.[20] In summary, oxygen interacts with LAB metabolism in a very active way, and it has been argued that it is perhaps inaccurate to designate them mere aerotolerant anaerobes,[33,165,214] an opinion that has some support, both with regard to the actual relationship to oxygen as described above and in the phylogenetic position of these bacteria (see Sec. III.D). However, it should be noted that LAB generally do not have the same potential to protect themselves against the toxic effect of oxygen as genuine aerobic organisms. LAB are generally devoid of catalase, although H2O2 may be decomposed by a pseudocatalase in some strains[29] or by a heme-catalase under certain conditions by others (see above). Since H2O2 is produced by NADH oxidases, accumulation may reach autoinhibitory levels depending on strain.[165] Superoxide dismutase is present in some LAB, e.g., lactococci and enterococci, and absent in others, e.g., lactobacilli. Some lactobacilli have developed a unique system for protection against superoxide. This system is based on specific accumulation of Mn2þ to high intracellular concentrations (30 – 35 mM), which have a scavenging effect on superoxide (for a review, see Ref. 215). Lb. plantarum is the most studied species in this regard and was recently shown to harbor genes for several transport systems for cations.[19] Some of them have been characterized to some extent.[216,217] It appears that other LAB associated with plant material (rich in Mn2þ), such as leuconostocs and pediococci, also possess manganese-accumulating systems.[215]

D.

Other Electron Acceptors

LAB are not restricted to oxygen as an external electron acceptor. Anaerobically, several organic compounds can serve the same purpose. This is especially true for the

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Hoang-Dung TRAN and friends heterofermentative LAB. It is perhaps a fair statement to say that this group of LAB has a more obvious use for external electron acceptors, even under “normal” glucose fermentation, since this (in theory) can double the amount of ATP produced per glucose consumed. In this regard, acetyl phosphate holds a key position as intermediate in the 6-PG/PK pathway. The presence or absence of an external electron acceptor will decide whether ethanol (no ATP) or acetate (1 ATP) is formed. Lucey and Condon[205] have suggested that the ethanol branch of the 6-PG/PK pathway in no more than a “salvage route,” permitting growth when an external electron acceptor is missing. The fact that some heterofermentative LAB have a defect ethanol branch (see above) and are, therefore, dependent on an external electron acceptor (at least for glucose fermentation) may support this theory. The changes that occur in the end product formation of heterofermentative LAB in the presence of an external electron acceptor, compared to in the absence, do not have a counterpart with homofermenters. Under normal growth conditions, only minor deviations of the homolactic fermentation may occur as a result of the use of external electron acceptors. Such a deviation may be production of some acetoin as a result of a build-up of excess pyruvate. However, organic electron acceptors can play an essential role for homofermentative LAB in anaerobic metabolism of certain substrates. Examples of organic external electron acceptors that can be used by LAB are acetaldehyde, a-ketoacids, citrate, fructose, fumarate, and glycerol.[209,218 – 223] Further details on the metabolism of some of these will be discussed below.

1. Citrate Citrate is not used directly as an electron acceptor, but acts as a precursor to one. The essential step is a cleavage of citrate by citrate lyase to form acetate and oxaloacetate. Different LAB use different pathways in the further metabolism of these products. Decarboxylation of oxaloacetate, yielding pyruvate, has already been mentioned in connection with the diacetyl/acetoin pathway (see Sec. IV.B). Growing cells of heterofermentative LAB dissimilating citrate in a cofermentation with carbohydrate do not form significant amounts of diacetyl or acetoin.[224,225] Rather, the excess pyruvate is reduced to lactic acid. This spares acetyl phosphate from being reduced to ethanol, and more ATP can be formed through the acetate kinase reaction, resulting in a more efficient glucose utilization and increased growth rate.[225] The products of the citrate lyase reaction are used differently in other LAB. A pathway for succinic acid formation from oxaloacetate was proposed and proven by Chen and McFeeters.[219] This metabolism was found in the anaerobic fermentation of mannitol by Lb. plantarum, in which an external electron acceptor was required for growth.[219,221] This way of utilizing citrate may be more common among LAB, especially heterofermentative, than the special case of Lb. plantarum mannitol fermentation would suggest. It may even explain some of the confusing results with regard to carbon recoveries and fermentation balances in studies of LAB and citrate dissimilation.[224] Due to its industrial importance, most studies on this subject have been aimed at the understanding of acetoin and diacetyl formation,[224] and other fates of citrate may have been overlooked. In studies of intestinal lactobacilli, it was initially noticed that some unidentified heterofermentative strains produced succinic acid in normal, MRS-like media.[226] Later, it was shown that this was due to a utilization of citrate in a cofermentation with glucose[227] and that these strains belong to a new species of lactobacilli, Lb. mucosae.[228] Although enzymatic evidence is missing, the

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Hoang-Dung TRAN and friends end product formation for one of these strains, shown in Fig. 5, is consistent with the operation of a citrate lyase and the succinic acid pathway. In addition, the typical stimulation of growth rate and glucose utilization occurred, indicating increased ATP production (L. Axelsson, unpublished). A hypothetical pathway of this metabolism is depicted in Fig. 6. It was noticed that succinic acid production from citrate was fairly common among heterofermentative lactobacilli isolated from the intestine of several animals (L. Axelsson and S. Lindgren, unpublished). The property seems to be common in plant-associated heterofermentative lactobacilli as well.[229] Citrate is also used as an electron acceptor in an anaerobic degradation of lactate, which can be performed by some strains of Lb. plantarum.[230] This metabolism is very slow and can only be observed after prolonged incubation. In fact, no growth is evident, but cells performing the metabolism (as evidenced by HPLC) have significantly higher ATP content than control cells (S. Lindgren and L. Axelsson, unpublished). This may point to an importance of this metabolism for survival and maintenance. The products of the cometabolism of lactate and citrate are succinic acid, acetate, formate, and CO2, indicating the operation of both the succinic acid pathway and a pyruvate-formate lyase.[230] This metabolism has been further studied in a strain of Lb. pentosus. Oxygen, nitrate, and nitrite were shown to inhibit formate production, possibly acting on the pyruvate-formate lyase.[231] The differences between LAB regarding the use of citrate may depend on the presence or absence of the enzyme oxaloacetate decarboxylase. If present, citrate utilization (the primary step being the lyase reaction) results in an increase in the pyruvate pool, which may lead to an altered end product pattern, e.g., acetoin production. If oxaloacetate decarboxylase is absent, an alternative route is the succinic acid pathway. A similar comparison was made between Enterobacter sp. (citrate fermenting) and Escherichia coli (citrate nonfermenting) when it was shown that E. coli could dissimilate citrate, but only in the presence of a cosubstrate, with the formation of succinic acid.[232]

Figure 5

End product formation by Lb. mucosae Lbp 1031 during growth on glucose and citrate in a modified MRS medium. Samples were withdrawn from the culture and subjected to HPLC analysis. During the sampling time, OD600 increased from 0.2 (0 h) to 1.7 (5 h). Symbols: B, glucose; O, citrate; A, lactate; W, acetate; 4, succinate; X, ethanol.

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Figure 6

Proposed pathway for succinic acid production in heterofermentative lactobacilli growing on glucose and citrate.

2. Glycerol Strains of Lb. brevis, Lb. buchneri, Lb. collinoides, and Lb. reuteri, all heterofermentative, can use glycerol as an electron acceptor in an anaerobic cofermentation with glucose. As mentioned previously, many strains of Lb. brevis ferments glucose poorly anaerobically. Some strains do ferment glucose, however, if glycerol is added.[218] The products of the cofermentation are lactate, acetate, CO2 and 1,3-propanediol. Again, the NADH formed during glucose fermentation is not reoxidized by the ethanol pathway, but rather by using glycerol as electron acceptor. Glycerol is first dehydrated to 3-hydroxypropionaldehyde (3-HPA) and further reduced to 1,3-propanediol by a NADþ : 1,3-propanediol dehydrogenase. Lb. reuteri ferments glucose alone with lactate, ethanol, and CO2 as end products, but changes to more acetate/less ethanol when glycerol is added.[223] The addition of glycerol also stimulates growth rate and Yglc is increased. The same pathway for glycerol reduction to 1,3-propanediol as for Lb. brevis was shown to be functional in Lb. reuteri.[223,233] Some differences in response to glycerol between these species can be noted. Resting cells of Lb. brevis metabolizing glycerol accumulate 1,2-propanediol,[218] whereas Lb. reuteri under these conditions accumulates and excretes the intermediate 3-HPA. This compound is a potent antimicrobial substance, initially termed reuterin.[234 – 236] The enzymes of the glycerol pathway seem to be under some kind of regulation in Lb. brevis, since cells grown on pentoses do not contain any glycerol dehydratase activity.[237]

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Hoang-Dung TRAN and friends This is logical, considering that pentose fermentation does not generate excess NADH. On the contrary, Lb. reuteri has about the same levels of this enzyme whether grown on pentose or glucose, despite the fact that the glycerol pathway is not used when the cells ferment pentoses (M. Fiuzat, L. Axelsson, and W. Dobrogosz, unpublished). In the presence of glycerol, strains of Lb. brevis and Lb. collinoides also ferment the initial lactate formed from glucose with acetate, ethanol, CO2, and 1,3-propanediol as end products.[238,239] The growth response of Lb. reuteri with the addition of glycerol (increased growth rate and Yglc), is very similar to that observed when oxygen is used as electron acceptor by Ln. mesenteroides.[205] The increase in Yglc is easy to understand, since more ATP per glucose can be formed through the acetate kinase reaction. But why is the growth rate increased? No clear-cut answer can be given, but Lucey and Condon[205] suggested that ATP formation is the rate-limiting step in these bacteria.

3. Fructose It was early noted that fructose fermentation by heterofermentative LAB resulted in mannitol formation.[240] This metabolism represents an interesting example of a case where the same compound acts as both the growth substrate and electron acceptor.[209] Fructose is fermented by the normal 6-PG/PK pathway, but some of the sugar is reduced to mannitol by a NADþ : mannitol dehydrogenase.[209] Similar to the use of other external electron acceptors, this enables the cells to produce ATP through the acetate kinase reaction. Assuming no ethanol formation, the overall equation for fructose fermentation would be: 3 fructose þ 2 ADP þ 2 Pi ! 1 lactate þ 1 acetate þ 1 CO2 þ 2 mannitol þ 2 ATP

(1)

As can be seen, this is less efficient than glucose fermentation in terms of ATP formed per sugar consumed. However, for some heterofermentative lactobacilli, the growth rate is higher on fructose than glucose (L. Axelsson, unpublished). This indicates that under conditions of substrate excess, a priority is given to growth rate rather than efficiency of substrate utilization. The reduction of some of the fructose to mannitol could play a role, since the cells may be able to form more ATP per time unit. The metabolism may be of great importance in natural plant fermentations, where glucose, fructose, and sucrose are the main sugars.[241] Heterofermentative LAB can use glucose as energy source and fructose as electron acceptor, thus obtaining optimal growth rate. A maltose-fructose cofermentation has also been suggested to improve sourdough fermentation.[242] Renewed interest in this metabolism of LAB has recently occurred as a result of the suggestion to use mannitol as a “nutraceutical,” i.e., an active ingredient in functional foods.[243,244] E.

The Malo-Lactic Fermentation

The metabolism of L -malic acid (the D form is not attacked) by LAB has been extensively studied. This has been due to its technological significance, mainly in wine manufacture, but also because it has presented some interesting physiological problems with regard to metabolism and bioenergetics. Few LAB, e.g., E. faecalis and Lb. casei, can use malate as the sole energy source. The NADþ-dependent malic enzyme catalyzes the decarboxylation of malate to pyruvate

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and CO2[182] as follows: Malate þ NADþ ! pyruvate þ CO2 þ NADH

(2)

Pyruvate is converted to acetate, ethanol, and CO2 with ATP generation presumably through the acetate kinase reaction. The more interesting, and more common in LAB, malate metabolism is the conversion of malate to lactate and CO2, which proceeds in a cofermentation with a fermentable carbohydrate. This fermentation, often referred to as malo-lactic fermentation (MLF), can be performed by many LAB. MLF is significant in the fermentation of vegetables and fruits, where malate is present in fairly high concentrations.[107] The conversion of malate to lactate in the late stages of wine-making is well known, where it may be desirable or undesirable, depending on the wine variety.[111] The pathway for malate dissimilation was first believed to be a sequence of reactions, the first being identical to Eq. (2), resulting in pyruvate as a free intermediate. Pyruvate would subsequently be reduced to lactic acid by the LDH. An indication of another mechanism was that MLF-leuconostocs produced exclusively L -lactic acid from malate.[111] Pyruvate could thus not be an intermediate, since leuconostocs only possess a D -LDH (see Sec. III.B). Subsequently, purification to near homogeneity of the enzyme catalyzing the complete reaction was achieved:[111] NADþ

Malate
! lactate þ CO2

(3)

To distinguish the enzyme from the malic enzyme and malate dehydrogenase, it was given the trivial name malo-lactic enzyme [the proper name being L -malate : NADþ carboxylyase[245]]. Curiously, although NADþ was required for enzymatic activity, no NADH was detected in early studies of the enzyme. This would indicate that hydrogen exchange reactions occurred within the enzyme and that oxaloacetate and/or pyruvate may be intermediates, but bound to the enzyme.[164] LAB performing the MLF in cofermentation with a carbohydrate generally benefit from this in a way that resembles the use of external electron acceptors (see Secs. IV.C and IV.D), i.e., increased growth rate and a higher Yglc compared to growth on solely glucose.[246] This is difficult to explain, since apparently no potential electron acceptors such as oxaloacetate or pyruvate are produced by the reaction. The stimulatory effect was first attributed to the deacidification of the external medium,[111] which is a consequence of the reaction since malic acid has a lower pKa than lactic acid.[247] This may be of importance, but cannot fully account for the stimulatory effect. Later studies have shown that the reaction is not stoichiometrically complete and that small, but significant amounts of pyruvate and NADH are released.[245] The reaction can thus provide additional electron acceptors. Measurements of internal ATP concentrations in cells performing the MLF have also indicated that the reaction confer benefits in the form of energy.[248] These authors suggested that this effect is indirect in that MLF relieves the cells from some of the energy requirements, in particular that required for generating and maintaining a proton gradient. This could be achieved by the “energy recycling model” of lactate efflux, but was subsequently shown to be mainly a consequence of so-called electrogenic precursor/product exchange (for further discussion on energetics, see Sec. V.A).

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F.

Nitrogen Metabolism: The Proteolytic System

It is a general belief that LAB have a very limited capacity to synthesize amino acids using inorganic nitrogen sources. They are, therefore, dependent on preformed amino acids being present in the growth medium as a nitrogen source. It should be noted, however, that the requirement for amino acids differs among the species and strain variations exist within species. Some strains of Lc. lactis subsp. lactis are in fact prototrophic for most amino acids, while Lc. lactis subsp. cremoris and Lb. helveticus strains require 13 – 15 amino acids.[249] The requirement for a particular amino acid may be the result of mutations in the genes for amino acid biosynthesis and/or the downregulation of these genes or the involved enzymes.[249,250] Growth on chemically defined minimal media is generally slow, and it is clear that LAB have adapted to rich environments by developing systems to efficiently exploit the nitrogen sources present there. One of the most extensively studied systems in this regard is the proteolytic system of dairy LAB, in particular that of Lc. lactis. The reason is of course the technological significance in milk fermentation, as it has been shown that a proteolytic system is necessary for appreciable and rapid growth in milk. There are several reviews covering this topic in more depth (e.g., Refs. 251,252). Below follows a short summary. All dairy lactococci used for acidification of milk (e.g., in cheese manufacture) have proteolytic activity. An extracellular, membrane-anchored serine proteinase (PrtP) was identified as being essential for this activity. Mutants defective in the gene of this protein grow to only very low densities in milk. PrtP exists in at least two variants in lactococci with somewhat different specificities in the degradation of milk casein. Several peptidases with different specificities have been identified in lactococci, but to date all well-characterized peptidases have been found to be intracellular. Earlier studies noticed a “missing link” in the proteolytic pathway, since the peptides produced by the activity of PrtP were too large to be directly transported by the transport systems identified. These are amino acid transport systems,[22] two di- and tripeptide transport systems,[253] and an oligopeptide transport system (Opp) accepting 4- to 8amino acid residue peptides.[254] Using mutants, one study also suggested that a broadspecificity di-/tripeptide transport system was essential for casein utilization.[255] The problem was then as follows: since the products of casein degradation appear to cross the membrane as di- or tripeptides and PrtP only produces larger oligopeptides, there should be an extracellular peptidase involved in the pathway. As mentioned, such a peptidase has never been convincingly identified. Refined tools for analyzing the products of casein degradation by PrtP, the advanced knowledge of the genetics of the system, methodologies for constructing well-defined mutants (e.g., inactivation by chromosomal integration), and thorough studies of the Opp system subsequently solved this problem. First, casein was shown to be degraded by PrtP to a much larger extent than previously thought, with oligopeptides smaller than 9 residues being a large fraction.[256] Second, using well-defined mutants, it was clearly shown that the Opp system was essential for growth on casein, while the di-/tripeptide transport system was not.[257] Third, by analyzing the peptide fraction in milk during growth, it was calculated that oligopeptides small enough to be accepted by the oligotransport system represent 98% of the nitrogen source for growth of lactococci in milk.[258] Fourth, the Opp system was shown to accept oligopeptides up to 18 residues, further strengthening the role of this transport system.[259] A model for the complete proteolytic pathway can now be constructed and is schematically shown in Fig. 7. The gene for PrtP, performing

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Figure 7

Model of the proteolytic pathway in Lc. lactis. Included is transport of di- and tripeptides and free amino acids, but note that these contribute very little to the total growth of lactococci in milk (see text). PrtP, membrane-anchored proteinase; Opp, oligopeptide transport system; D, di-/tripeptide transport system(s); A; amino acid transport system(s); M, cytoplasmic membrane.

the prime step in the pathway, has been shown to be regulated by specific dipeptides,[260] presumably produced by the action of intracellular peptidases from transported oligopeptides in the in vivo situation. The extent to which this knowledge of the lactococcal proteolytic system can be transferred to other LAB is not known at present, since detailed studies in other species are scarce. As far as they do exist, they seem to indicate that the proteolytic systems are indeed similar to lactococci.[251] Except for the primary enzyme in the pathway, the extracellular proteinase, the genome of Lb. plantarum contains all genes necessary for protein degradation, i.e., genes encoding for the Opp system and and array of peptidases of different specificity.[19] Other lactobacilli do possess a PrtP protein very similar to the lactococcal counterpart.[261]

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V.

Axelsson

Hoang-Dung TRAN and friends ENERGY TRANSDUCTION AND SOLUTE TRANSPORT

Members of LAB have been extensively studied with regard to mechanisms of transport and energetics, in particular species of the genera Enterococcus, Lactococcus, and Streptococcus. Model systems, which use these bacteria, are easy to control and manipulate. Aerotolerance, an efficient fermentative metabolism with no oxidative phosphorylation, and a cell wall without outer membrane are valuable properties in this regard. The results obtained with these model systems have been important for the understanding of living cells in general.[23] Sugar transport is of course connected to the carbohydrate metabolism described in previous sections, but the discussion on the subject has been placed here because transport systems in general are tightly coupled to the bioenergetics of the cells. There are excellent reviews covering this vast field (e.g., Refs. [21 – 26,171,262, 263]), and the presentation here can only be a short summary.

A.

Bioenergetics of LAB

1. ATP, the Proton Motive Force, and Internal pH The metabolism of LAB is aimed at the generation of ATP, the universal energy carrier in all living cells. ATP, or high-energy compounds interconvertible with ATP, is needed for the thermodynamically unfavorable “reaction” of building cells. The most important energy-requiring events in cells are the synthesis of macromolecules and the transport of essential solutes against a concentration gradient. The so-called chemiosmotic theory in bioenergetics[264,265] is now generally accepted. Cellular metabolism leads to an electrochemical proton gradient across the cytoplasmic membrane. The most commonly known system for creating a proton gradient is the membrane-linked electron transport chain, present in respiring organisms. The flow of electrons through the system via different carriers in effect pumps protons out of the cell. The proton gradient across the cytoplasmic membrane is composed of two components, an electrical potential (DC), inside negative, and a pH gradient (DpH), inside alkaline. DC and DpH exerts an inwardly directed force termed the proton-motive force (PMF). In organisms with an electron transport chain, this force is large enough to be converted into chemical energy, i.e., ATP. This is accomplished by a membrane-located enzyme, the Hþ-translocating ATPase, or in this function also known as the ATP synthase. The energy of the reversal flow of protons “through” the enzyme, into the cell, is used to form ATP from ADP and phosphate. LAB do not possess an electron transport chain (at least not in the absence of preformed heme) and are hence not able to form ATP in this way. Instead, ATP is generated by substrate-level phosphorylation, which is characteristic for all fermentative organisms. LAB do, however, possess an enzyme very similar to the ATP synthase, but the major role of this enzyme is the reverse reaction, i.e., the hydrolysis of ATP with concomitant pumping of protons out of the cells.[22,23] LAB (and fermentative bacteria in general) thus establish a PMF, which can drive energy-consuming reactions such as the uphill transport of metabolites and ions. The difference in function between the Hþ-ATPase of LAB and the ATP synthase of respiring organisms is merely a reflection of the different modes of metabolism. The Hþ-ATPase of Lc. lactis is capable of acting as an ATP synthase under certain conditions.[24,37,266] It was also quite early established that the Hþ-ATPases of E. faecalis,

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Hoang-Dung TRAN and friends Lc. lactis subsp. cremoris, and Lb. casei have the same basic structure as the ATP synthase from mitochondria, chloroplasts, and respiring or photosynthesizing eubacteria.[267 – 269] It is well known that bacteria attempt to maintain the cytoplasmic pH (pHi) at a certain level or interval.[270] LAB are to a certain degree exceptions to this, since they tolerate lower and a wider range of internal pHs. There are, however, differences within the LAB group. In general, lactobacilli are significantly more tolerant to low pHi than enterococci, leuconostocs, and streptococci.[21,271] It is logical that the enzymes and the general machinery of the cells have threshold levels below (and above) which they cannot function. It appears that some lactobacilli have developed a very “relaxed” system, which works even at a pHi of 4.2– 4.4. In contrast, enterococci, lactococci, and streptococci rarely tolerate a pHi lower than 5.0.[21,22] Since the external pH (pHo) falls well below these values, due to massive acid production, a mechanism must exist to maintain pHi above the threshold levels. Studies of E. faecalis suggest that the Hþ-ATPase plays a crucial role and that this role is the main function of the enzyme.[272] The extrusion of protons by the Hþ-ATPase and the electrogenic uptake of Kþ maintain the cytoplasm more alkaline than the outside medium. Both the activity and the synthesis of the Hþ-ATPase are regulated by pHi. The mechanism of pH homeostasis in lactococci seems to be very similar to the E. faecalis system.[22]

2. “Energy Recycling” and Electrogenic Precursor/Product Exchange The maintainance of a pHi above the threshold level and the generation of a PMF require the use of a substantial part of the ATP generated by substrate-level phosphorylation. This makes less ATP available for biosynthetic purposes. Any other means of generating or maintaining the PMF than the Hþ-ATPase would save energy. Some LAB have developed such systems, which to some degree compensate for the drain of ATP. A general scheme for PMF-driven transport is depicted in Fig. 8A. The inwardly directed gradient of protons is the driving force for the influx of a solute X, which enters the cell together with a proton (proton symport). The question is whether this process, in its principles, is reversible, as shown in Fig. 8B? Here, the outwardly directed gradient of solute Y drives the efflux in symport with a proton, thus creating a PMF. The answer to the question is yes, under certain conditions. Based on theoretical calculations, where solute Y (Fig. 8B) was represented by a fermentation end product (such as lactate), a model was proposed as to how energy could be conserved by end-product efflux, the so-called “energy recycling model”.[273] If the efflux is electrogenic, i.e., a net charge leaves the cell together with the end product, a PMF is generated. In the case of lactate, more than one proton (on average) per lactate molecule has to be exported to obtain an electrogenic efflux. Experimental results with Lc. lactis subsp. cremoris have supported the model.[274,275] A carrier-mediated electrogenic lactate efflux was shown to occur at pHo above 6.3 and low external lactate concentrations (,10 mM). At lower pHo and higher external lactate concentrations, the lactate efflux was electroneutral and subsequently not contributing to the generation of a PMF. In practice, this energy-saving process is only operational at the initial stage of growth in a batch culture. In an ecological context, the significance of the process may be substantial, since an initial high growth rate (which presumably would be the result of more ATP available for biosynthesis) could be advantageous in competition with other microorganisms. A dramatic effect was observed when Lc. lactis subsp. cremoris was grown in coculture with a lactate-consuming organism, Pseudomonas stutzeri. The conditions for maximium advantage of lactate efflux

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Schematic representation of proton-motive force (PMF) formation by a Hþ-ATPase and PMF-driven transport (A), and electrogenic end product efflux (B). M denotes the cytoplasmic membrane.

Figure 8

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Hoang-Dung TRAN and friends (low external lactate concentration and high pHo) were thus maintained throughout growth and a 60– 70% increase of the molar growth yield for lactose was obtained.[276] The energy recycling model has been shown to be applicable also for acetate efflux in Lb. plantarum.[277] This species responds to a shift from anaerobic to aerobic conditions by producing some acetate at the expense of lactate and by increasing the molar growth yield for glucose.[278] An electrogenic acetate efflux was demonstrated, and this, together with additional ATP formation via the acetate kinase reaction, was suggested to contribute to the energy economy of the cells. The system of energy recycling by lactate efflux is not general for all LAB. A carriermediated, electroneutral export of lactate was shown for Lb. helveticus.[279] This species is able to produce very large amounts of lactic acid (.200 mM) and the pHo drops to levels well below 4.0. The massive lactic acid production and acid tolerance of Lb. helveticus is very different from lactococci, and it is perhaps not surprising that the lactate export system differs. It is not known if the system of Lb. helveticus is typical for the more acid-tolerant LAB. Recently, another mechanism for creating a PMF has been identified in LAB. These findings stem from the attempts to explain the energy benefits of the malo-lactic fermentation (see Sec. IV.E). It has been shown that MLF in Lb. plantarum and Lc. lactis functions as an indirect proton pump.[280,281] The precursor (malate) is exchanged for a product (lactate) with higher charge, making the overall reaction electrogenic. The key is the compartmentalization of the pathway, i.e., the decarboxylation occurring inside the cell and consuming one proton.[24] The PMF formed by the MLF alone is high enough to drive ATP synthesis by the Hþ-ATPase, but may under normal conditions, i.e., cofermentation of sugar malate, be a mechanism to conserve rather than directly generate energy.[24] A generalization of these so-called electrogenic precursor/product exchange reactions is shown in Fig. 9. The exchange reaction may be direct, mediated by one exchange protein (Fig. 9A), or indirect, via one precursor uptake protein and one product exit protein (Fig. 9B). The benefits of citrate metabolism in Lc. lactis can be explained by the same mechanism, where essentially a di- or trivalent anion (citrate) is exchanged for monovalent (acetate) and neutral (acetoin) products concomitant with decarboxylation.[282] Certain lactobacilli can produce biogenic amines such as histamine and tyramine by decarboxylation of the amino acids histidine and tyrosine, respectively. This leads to the generation of a PMF, presumably by the same general mechanism.[24]

B.

Transport of Solutes

LAB are generally very fastidious and require amino acids, nucleotides or nucleotide precursors, and vitamins in addition to an energy source, generally a carbohydrate. A prerequisite for rapid growth is efficient transport systems for the uptake of essential nutrients. The transport of solutes is highly connected to the bioenergetics of the cells. LAB use different types of transport systems, which can be broadly divided into three categories based on differences in the form of energy used in the translocation process:[26] (a) primary transport (chemical energy, e.g., ATP-driven), (b) secondary transport (chemiosmotic, e.g., PMF-driven), and (c) group translocation (chemical modification concomitant with transport), i.e., phosphoenolpyruvate : sugar phosphotransferase system (sugar PTS). It should be emphasized that the most extensive research on transport systems among LAB has been done with Lc. lactis. For this species, a nearly complete picture of the transport of sugars, amino acids, peptides, and ions has emerged.[22,24] Much of the discussion below is based on these results.

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Figure 9

Schematic representation of electrogenic precursor/product exchange with intracellular decarboxylation. The precursor (X-COO) with a certain charge (n) is transported into the cell and decarboxylated to yield the product (X-H) with higher charge (n þ 1). The product can be exported via a precursor/product antiport (A) or by a separate carrier (B). The reaction contributes to the formation of the PMF.

1. Primary Transport (Phosphate Bond – Linked Transport, ATP-Driven) The most common class of primary transporters in LAB are members of the ABC (ATP-binding cassette)-transporter superfamily.[283] They are represented by systems for accumulating substrates and compatible solutes, such as the glutamate/glutamine transporter, the oligopeptide (Opp) transport system, and the OpuA (Lc. lactis/Lb. plantarum) or QacT (Lb. plantarum) transporters for defense against osmotic shock, but also by systems for excreting unwanted compounds (e.g., drugs) such as LmrA of Lc. lactis.

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Hoang-Dung TRAN and friends Glutamate and glutamine transport in lactococci is mediated by a system dependent on the production of metabolic energy by either glycolysis or the ADI pathway.[284,285] The activity of the transport system decreases if internal ATP levels are lowered. A single transport system for glutamate and glutamine has been identified.[285] The system has an absolute preference for the undissociated form of glutamate (glutamic acid), which leads to growth limitations at alkaline pH values.[286] Since glutamine transport is independent of pH, the cells can be relieved of this effect if higher concentrations of glutamine are included in the medium as a source of glutamate. The oligopeptide (Opp) transport system, crucial in the proteolytic pathway (see Sec. IV.F), is ATP driven and unaffected by the magnitude of the PMF. The system has been characterized both genetically and biochemically.[254] It is composed of five proteins, two of which (OppD and OppF) show the typical ATP-binding domains of the ABC-transporter superfamily. The physiological characteristics of the glutamate/glutamine and the oligopeptide transport systems are similar, and a multiprotein complex has been predicted for the former.[24] Microbial cells respond to osmotic up-shifts by accumulating certain compounds intracellularly to very high concentrations. These compounds do not affect the macromolecules of the cells and may in fact stabilize the structures of some enzymes. LAB use an ABC-transporter, OpuA or equivalent, for accumulating glycine betaine, which appears to be the preferred compatible solute. This feature has been mostly studied in Lc. lactis and Lb. plantarum. For a review on the subject, see Ref. 26.

2. Secondary Transport PMF-Driven Symport. The PMF-driven transport systems are perhaps the most common and general among LAB for the transport of nutrients into the cell (as in most bacteria). The principles of this transport system have already been mentioned and are schematically drawn in Fig. 8A. A specific, membrane-associated protein (carrier, permease) translocates the solute across the membrane in symport with one proton. Presumably, many sugars are transported in this way (see also Sec. IV.A), although the actual mechanisms, specificities, etc. have not been studied to any large extent, with the exception of lactose transport. PMF-driven lactose transport has been shown in lactococci, lactobacilli, and S. thermophilus.[22,24,98,263,287,288] The mechanism has been studied in some detail in S. thermophilus. As mentioned, this species only ferments the glucose moiety of lactose, while galactose is excreted. Despite this being an exchange reaction, with energetic benefits, the actual carrier, LacS, is not a strict antiporter, as was suggested,[289] but can also transport lactose in symport with a proton with PMF as the driving force. Efflux of galactose is a result of internal accumulation (due to a defective induction of galactokinase) and the fact that the carrier also has affinity for this substrate.[24] In vivo, the exchange reaction seems to be the most relevant since it is faster than the symport reaction.[290] In certain lactococci the permease-mediated transport of lactose coexists with a lactose PTS system.[22] Similarly, it has been shown that glucose can be transported either by a PMF-driven system or a glucose PTS in a strain of T. halophilus.[291] The reason for having two separate transport systems for the same solute is not fully understood, but differences in affinity may allow the cells to use either system at different substrate concentrations.[22] In lactococci, most amino acids are also transported by PMF-driven symport systems.[22] Stucturally similar amino acids, e.g., leucine, isoleucine, and valine, may

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Hoang-Dung TRAN and friends share the same carrier protein. Differences between carriers with regard to affinity and pH regulation has been shown.[22] One of the di- and tripeptide transport systems has also been shown to be PMF driven, with a broad-specificity carrier.[255] For the amino acid proline, peptides seems to be the preferred source. This has been attributed to an efficient transport system for proline-containing di- or tripeptides (in the form of Pro-X or Pro-X-X), while an active transport system for the free amino acid is missing (i.e., a dependence on passive diffusion).

Precursor: Product Antiport. Many LAB can derive energy through substrate-level phosphorylation by the metabolism of arginine.[292 – 294] The pathway of this metabolism, the arginine deiminase (ADI) pathway, is shown in Fig. 10. For unknown reasons, most arginine-metabolizing LAB cannot use arginine as sole energy source,[22,113] but catabolize it simultaneously with a fermentable carbohydrate. Ornithine, one of the end products of the metabolism, is excreted into the medium.[295] It has been established, at least for lactococci, that the driving force for arginine uptake and ornithine excretion is the concentration gradients of these compounds[22] with no involvement of PMF. The stoichiometry for the arginine : ornithine exchange is strictly 1 : 1, and the exchange has been shown to be mediated by a single, membraneassociated protein, the arginine/ornithine antiporter.[296] The enzymes of the ADI pathway, except carbamate kinase (which presumably has other, anabolic roles), as well as the antiporter itself is repressed by glucose and induced by arginine.[22,296] The arginine metabolism leaves the cells without any net accumulation of amino acid, and the question arises as to how the biosynthetic need for arginine is supplied. The activity of the PMF-dependent lysine carrier is probably the answer to this question since (a) it has some affinity for ornithine, which thus might be recaptured, and (b) the antiporter can catalyze heterologous exchange of arginine for lysine in addition to exchange of arginine for ornithine.[24]

Figure 10

The arginine deiminase pathway with the arginine/ornithine antiporter (AP). M denotes the cytoplasmic membrane.

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3. Group Translocation: The Phosphoenol pyruvate:Sugar Phosphotransferase System The PTS is a complex enzyme machinery, whose main function is to translocate a sugar across a membrane with simultaneous phosphorylation (for a comprehensive review, see Ref. 297). Since there are two separate molecular species outside (sugar) and inside (sugar phosphate) the membrane, the translocation does not involve any concentration gradients. The energy for the process is provided by the high-energy phosphate bond of phosphoenolpyruvate (PEP). The energy of the phosphoryl group is transferred in a series of reactions, via PTS-specific proteins, to a membrane-located enzyme, which mediates transport and phosphorylation of the sugar. The components and reactions of the system are depicted in Fig. 11. The first two proteins in the series, Enzyme I (EI) and heat-stable protein (HPr), are sugar nonspecific (can be shared by several PTS), whereas Enzyme IIBC (EIIBC) and Enzyme IIA (EIIA) are sugar specific (denoted by a superscript in Fig. 11). Note that in older literature, EIIBC and EIIA were denoted EIII and EII, respectively. The sugar-specific components may also exist as a fusion protein, designated EIIABC, or as separate proteins IIA, IIB, and IIC. The suffixes represent different domains containing active sites involved in the reactions. EIIBC is a membrane-located enzyme that acts in concert with the phosphorylated EIIA to mediate recognition, translocation, and phosphorylation. EIIBC and EIIA are sugar specific, but the specificity may not be absolute. Thus, the glucose PTS in most LAB also recognizes mannose and is often designated man-PTS to distinguish it from the glc-PTS, first described in E. coli, which has a different substrate specificity.[297] The distribution of PTS in bacteria has been discussed by several authors.[263,297 – 299] There has been a general agreement that the presence of PTS is highly correlated to the ability to ferment substrates through the Embden-Meyerhof-Parnas pathway, i.e., glycolysis. It has been argued that the production of 2 mol of PEP per hexose consumed (as in glycolysis) is needed for a functional metabolism, including a PTS.[299] LAB have

Figure 11

Sugar transport mediated by the phosphoenolpyruvate : sugar phosphotransferase system (PTS) and relation to glycolysis. PK, pyruvate kinase. See text for details.

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Hoang-Dung TRAN and friends provided some support for this in that sugar PTS were not found at first in heterofermentative LAB.[263,299] However, PTSs for gluconate and pentitols have been described in LAB (see Sec. IV.A). These compounds are fermented by the 6-PG/PK pathway and hence do not result in two PEP per substrate. In addition, reports clearly show that heterofermentative LAB also can have sugar PTS activity, although it may be uncommon.[183,300] As a generalization, the sugar PTS is tightly coupled to glycolysis in most bacteria. This is schematically shown in Fig. 11. The system actually constitutes a cycle, in which PEP holds a key position.[262] The transport of the sugar is directly coupled to the subsequent metabolism, which in turn provides the PEP needed for a new cycle to begin. As depicted in Fig. 11, PEP has two alternative fates. It can either donate the phosphoryl group to EI and initiate the PTS cycle, or it is used by pyruvate kinase to form ATP. Pyruvate kinase is subject to regulation, where FDP acts as activator and Pi as inhibitor.[262] Under optimum glycolyzing conditions, when the FDP level is high and the Pi level low, pyruvate kinase is most active and the concentration of PEP is low.[262] A decrease in the glycolytic rate as a result of limiting concentration of sugar will result in a decrease in FDP levels and an increase in Pi.[301] Consequently, pyruvate kinase activity decreases and the concentration of PEP increases. During complete starvation, when both pyruvate kinase and the PTS are inoperative, the cells contain high concentrations of PEP and the preceding intermediates in the glycolytic pathway, 3-phosphoglycerate and 2-phosphoglycerate.[262] This pool of metabolites, designated the PEP potential, enables the cells to quickly resume transport and glycolysis once a sugar becomes available. The PEP potential may also be important in providing maintenance energy during starvation by a residual activity of pyruvate kinase.[262]

VI.

REGULATION OF CARBON METABOLISM

I found it appropriate to place this short section on the regulation of carbon metabolism in LAB not only after the general sections on metabolism, but also after the section on energy transduction and transport. Carbon metabolism regulation has been shown to be an interplay between several components that have roles in more than one context, thus connecting transport of solutes, transcriptional control, and catabolism. LAB have been valuable as model systems for basic research on how carbon metabolism is regulated in bacteria. One of the foundations for this was laid with the basic knowledge obtained by research on PTS-mediated transport (for reviews, see Refs.[171,242,263]). Regulation of carbon metabolism is complex and features intriguing regulatory circuits.[263,302] Within the scope of this chapter, only a few of those features can be mentioned. To avoid unnecessary enzyme synthesis and to achieve maximum profit from a substrate mixture, bacteria have developed mechanisms to monitor nutritional and energy status and to respond to these conditions. “Coarse control” is achieved by a substrate induction, i.e., most carbon sources act as inducers for transcription of the genes encoding transport and/or catabolic systems for that particular substrate. However, facing a substrate mixture, this is not sufficient as a regulatory response since all the (potential) inducers are present. By global transcriptional control, bacteria utilize carbon sources in a hierarchial manner and repress the genes necessary for catabolizing the less preferred substrate. This is achieved by a mechanism known as carbon catabolite repression (CCR). CCR involves both direct transcriptional control via trans-acting repressor proteins

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Hoang-Dung TRAN and friends and mechanisms that keep the inducer concentration in the cytoplasm low, thereby indirectly affecting gene expression. Global control of carbon metabolism has been extensively studied both in enteric bacteria (e.g., Escherichia coli) and in the low G þ C gram-positive bacteria, mainly Bacillus subtilis, but also, as mentioned, in LAB. The mechanisms of CCR and carbon control in these two major groups of bacteria are partly different (for a review, see Ref. 303), but the phenotypes are similar in both systems, and components of the PTS system play a pivotal role. Central to CCR in gram-positive bacteria is catabolite control protein A (CcpA). CcpA is a trans-acting repressor of several catabolic operons involved in the utilization of carbon sources other than glucose.[304,305] However, CcpA can also act as an activator of transcription in some instances. CcpA exerts its function through binding to the cis-acting sequence called catabolite-responsive element (cre), usually present in or in the vicinity of the promoter region of the pertinent gene/operon. It has been firmly established that the link between the energy status in the cells and CCR in gram-positive bacteria, which in gram-negative bacteria is performed mainly by Enzyme IIAGlc of the PTS system, is the PTS protein HPr together with a HPr kinase/phosphatase (HPrK/ P).[26,303] The phosphorylation of HPr by EI  P in the PTS cycle depicted in Fig. 11 takes place at the histidine-15 residue, resulting in HPr(His  P). However, HPr can also be phosphorylated at serine-46 by HPrK/P, resulting in HPr(Ser  P). High PTS activity and high catabolic rate will increase the pool of FDP which stimulates HPrK/P kinase activity in some LAB. In others, high ATP levels, also indicative of high catabolic rate, stimulate the kinase. The phosphorylation of HPr to HPr(Ser  P) will break the PTS cycle and ultimately reduce sugar uptake and catabolism. Lower levels of glycolytic intermediates will turn off the kinase activity of HPrK/P and instead activate its phophatase activity, which frees HPr for its PTS function again. Thus, the phosphorylation state of HPr reflects the metabolic state of the cell, and this is achieved not only for PTS sugars. The role of HPr is emphasized by the fact that HPr(Ser  P) is the activator of the CcpA protein. A complex between HPr(Ser  P) and CcpA is first formed and the complex binds specifically to the cre site. Interestingly, CcpA acts as activator of glycolytic enzymes, such as the las operon in Lc. lactis.[306] This study also showed that a CcpA mutant performed a mixed acid fermentation. The phosphorylation status of HPr and its effect on CcpA could thus be a link between the levels of glycolytic intermediates and mode of fermentation, instead of a direct allosteric effect on nLDH, as first suggested (see Sec. IV.B). As mentioned, CCR also encompass ways of keeping intracellular inducer concentrations low. Two mechanisms can be distinguished: inducer exclusion and inducer expulsion, i.e., to avoid uptake of one sugar when a preferential substrate is present and to excrete already accumulated inducer when a preferential substrate becomes available, respectively. The inducer exclusion effect was shown quite early in lactococci using the galactoside analogue thiomethyl-b-D -galactopyranoside (TMG). Cells induced for the lactose-PTS do not accumulate TMG if glucose or glucose analogues are transported by the mannose-PTS.[179,262,307] Inducer exclusion has mostly been attributed to competition for HPr(His  P) by affinity differences of HPr(His  P) for the sugarspecific EIIA proteins, but HPr(Ser  P) has also been implicated. The phenomenon of inducer expulsion is less understood, but in Lc. lactis the mechanism involves stimulation of a sugar phosphatase by HPr(Ser  P).[308] Figure 12 summarizes the central role of HPr in global regulation of carbon metabolism in LAB. The balance of the three different forms, HPr, HPr(His  P), and HPr(Ser  P), reflects the physiological state of the cell (the double phosphorylated form HPr(His  P)(Ser  P) also exists,

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Figure 12

Schematic representation of the central role of HPr in the global regulation of carbon transport and metabolism. See text for further details. PTS, phosphoenolpyruvate : sugar phosphotransferase system.

but the physiological role is not understood). The different forms exert their functions through other global regulators, such as CcpA, and/or through allosteric control of different transporters, giving an enormous range of modulating and adjusting catabolic capacity. Studies on the PTS system and the role of its components in carbon control in LAB have mostly been done in Lc. lactis and Lb. casei,[303] but very important contributions regarding HPr were also made in the heterofermentative species Lb. brevis.[309,310] CcpA and/or its gene have been found in all LAB investigated so far. One could therefore assume that the general picture outlined above is valid for all LAB. Another angle in the studies of carbon metabolism and its regulation is to apply metabolic control analysis and metabolic optimization. Recently, such studies have been initiated for the primary metabolism in Lc. lactis, i.e., glycolysis.[311] In an elegant series of studies, where enzyme activities are modulated in small steps by a genetic method using artificial promoters,[312] the metabolic control of glycolysis was investigated (reviewed in Ref. 313). These studies have to some degree questioned the key controlling role over glycolysis attributed to glyceraldehyde-3-phosphate dehydrogenase (GAPDH),[199,314] since changing GAPDH levels in growing cells did not alter the glycolytic flux or change the mode of fermentation from homolactic to mixed acid.[313,315] Further studies along these lines will be very valuable for understanding how the primary metabolism in LAB is controlled and regulated. Genome sequencing will give another dimension to research of the complex networks that regulate metabolism. At the time of this writing, only two LAB genome sequences have been published,[18,19] but more than 30 are underway, some of them already completed but not yet published.[20] For some species more than one strain will be sequenced. This will be important in defining the background for differences in phenotype and physiology. The analysis of the Lc. lactis genome, the first completed among LAB, is the most advanced. Attempts are being made to build a regulatory network based on predictions of regulators from the annotated sequence, mutagenesis, phenotypic

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Hoang-Dung TRAN and friends studies, and postgenome methodologies such as two-dimensional gel electrophoresis (proteom analysis) and DNA microarrays (transcriptome analysis).[316] An estimate of 111 regulators were putatively identified from the sequence, but only 18 have been characterized. A further 34 were proposed a function, but 59 were not. Some of these were unique for Lc. lactis. The author acknowledges the large amount of work needed, including classical biology and physiology, before a more complete picture of the regulatory network can be established.

VII.

CONCLUDING REMARKS

The aim of this review on lactic acid bacteria has been to indicate what they are (general description), who they are (classification), what they do (metabolism), and how they do it (metabolism, energetics, and transport). This has not been an easy task. LAB comprise a very diverse group of organisms, which have sufficient characteristics in common that some generalizations can be made. The overall view I would like to pass on is that LAB are more than just lactic acid producers. Lactic acid production is merely a reflection of an underlying metabolism, which is far more complex and, most importantly, more adaptive than one could imagine. The results of genome sequencing of LAB will certainly strengthen this view and, to some extent, have already done so. The second LAB genome to be completed, Lb. plantarum strain WCFS1, revealed a large region in the chromosome containing genes encoding several nutrient utilization systems and extracellular functions. This cluster of genes has been termed a “lifestyle adaptation region”.[19] LAB are perfectly adapted to environments rich in nutrients and energy sources. They have, therefore, dispensed with biosynthetic capability. Apparently genetic material for biosynthesis is still present, as shown for the sequenced Lb. plantarum strain mentioned above.[19] However, the nutrient requirements in minimal media[317] are greater than the sequence implicates, indicating that some of the biosynthetic genes are not expressed. The reasons for this are not known, but early studies showed that mutagenesis can render some lactobacilli prototrophic for some amino acids.[250] However, if these mutants are returned to a rich medium, they readily revert to the auxotrophic state. This may have evolutionary implications, but more important, it shows that there has been a strong selection for cells that are committed to life in rich environments. These environments are of course excellent for supporting growth of other microorganisms. LAB have therefore developed strategies to efficiently compete with these organisms. One important strategy is acid production and acid tolerance.[318] This may be why the term LAB arose. A group of bacteria were isolated from similar niches and turned out to be lactic acid producers. It was natural to group them together. Another possibility is the following: the commitment to life in rich environments demands a simple, but effective way of outcompeting other microorganisms. Solution: acid production! Therefore, we are left with, in reality (phylogenetically), a group of organisms that are diverse but physiologically similar, since they are specialized for nutrient-rich environments (limited biosynthetic ability) and their metabolism is aimed at acid production. Although the reasoning above may be somewhat oversimplified, it is clear that the classification problems that always have been evident with regard to LAB may stem from an (historical) overemphasis on a few characteristics. We now have the means to determine natural relationships more objectively and more accurately than ever before. These relationships can probably be assessed more easily than defining common phenotypic characters for a particular natural group. In future classification of bacteria, in general,

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Hoang-Dung TRAN and friends it will be necessary to do “reverse phylogenetics,” i.e., first define the natural relationships among bacteria with, e.g., rRNA sequencing and then search for the unifying phenotypic characteristics. Interestingly, some approaches in this direction have been taken with regard to LAB. Some enterococci are known to be able to synthesize cytochromes in the presence of heme. The study by Meisel et al.,[35] in which it was shown that a species of Carnobacterium (in the study designated Lb. maltaromicus) can synthesize cytochromes in the presence of heme, was done with the phylogenetically close relationship between carnobacteria and enterococci in mind. The authors (correctly) suspected that carnobacteria could be similar to enterococci because of a phylogenetic relationship. The general metabolism and physiology of LAB reflect their adaptation to niches rich in nutrients. They have developed very efficient transport systems, which enable them to quickly take up the necessary solutes. Their extreme saccharolytic nature is another example. Genome sequencing has confirmed this picture. Again, the genome of Lb. plantarum can serve as an example as it revealed an impressive 25 complete sugar PTS systems.[19] However, as I have tried to emphasize, LAB have developed systems that will allow them to derive more energy from a rich medium than just carbohydrate. One of these systems involves the “cofermentations” that have been mentioned several times. By using a substrate, otherwise nonfermentable, as an electron acceptor during carbohydrate fermentation, they indirectly derive some energy from that substrate that otherwise would be lost. Electrogenic precursor/product exchange, e.g., malate and citrate metabolism, essentially serve the same purpose. As indicated above and in Sec. III, Orla-Jensen’s concept of LAB being a “great natural group” may not be entirely correct. However, the term lactic acid bacteria will probably be used in the foreseeable future, since it is useful to describe a group of organisms that have many physiological properties in common and, as a generalization, have similarities in their ecological behavior.

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Hoang-Dung TRAN and friends 9. Saiki, R.K.; Gelfand, D.H.; Stoffel, S.; Scharf, S.J.; Higuchi, R.; Horn, G.T.; Mullis, K.B.; Erlich, H.A. Primer-directed enzymatic amplification of DNA with thermostable DNA polymerase. Science 1988, 239, 487– 494. 10. Woese, C.R. Bacterial evolution. Microbiol. Rev. 1987, 51, 221 – 271. 11. Collins, M.D.; Williams, A.M.; Wallbanks, S. The phylogeny of Aerococcus and Pediococcus as determined by 16S rRNA sequence analysis: description of Tetragenococcus gen. nov. FEMS Microbiol. Lett. 1990, 70, 255– 262. 12. Wallbanks, S.; Martı´nez-Murcia, A.J.; Fryer, J.L.; Phillips, B.A.; Collins, M.D. 16S rRNA sequence determination for members of the genus Carnobacterium and related lactic acid bacteria and description of Vagococcus salmonarium sp. nov. Int. J. Syst. Bacteriol. 1990, 40, 224– 230. 13. Collins, M.D.; Samelis, J.; Metaxopoulos, J.; Wallbanks, S. Taxonomic studies on some leuconostoc-like organisms from fermented sausages: description of a new genus Weissella for the Leuconostoc paramesenteroides group of species. J. Appl. Bacteriol. 1993, 75, 595 – 603. 14. Platteeuw, C.; Hugenholtz, J.; Starrenburg, M.; van Alen-Boerrigter, I.; de Vos, W.M. Metabolic engineering of Lactococcus lactis: influence of the overproduction of a-acetolactate synthase in strains deficient in lactate dehydrogenase as a function of culture conditions. Appl. Environ. Microbiol. 1995, 61, 3967– 3971. 15. de Felipe, F.L.; Kleerebezem, M.; de Vos, W.M.; Hugenholtz, J. Cofactor engineering: a novel approach to metabolic engineering in Lactococcus lactis by controlled expression of NADH oxidase. J. Bacteriol. 1998, 180, 3804– 3808. 16. Hols, P.; Kleerebezem, M.; Schanck, A.N.; Ferain, T.; Hugenholtz, J.; Delcour, J.; de Vos, W.M. Conversion of Lactococcus lactis from homolactic to homoalanine fermentation through metabolic engineering. Nat. Biotechnol. 1999, 17, 588 – 592. 17. Neves, A.R.; Ramos, A.; Nunes, M.C.; Kleerebezem, M.; Hugenholtz, J.; de Vos, W.M.; Almeida, J.; Santos, H. In vivo nuclear magnetic resonance studies of glycolytic kinetics in Lactococcus lactis. Biotechnol. Bioeng. 1999, 64, 200 – 212. 18. Bolotin, A.; Wincker, P.; Mauger, S.; Jaillon, O.; Malarme, K.; Weissenbach, J.; Ehrlich, S.D.; Sorokin, A. The complete genome sequence of the lactic acid bacterium Lactococcus lactis ssp lactis IL1403. Genome Res. 2001, 11, 731 – 753. 19. Kleerebezem, M.; Boekhorst, J.; van Kranenburg, R.; Molenaar, D.; Kuipers, O.P.; Leer, R.; Tarchini, R.; Peters, S.A.; Sandbrink, H.M.; Fiers, M.W.E.J.; Stiekema, W.; Klein Lankhorst, R.M.; Bron, P.A.; Hoffer, S.M.; Nierop Groot, M.N.; Kerkhoven, R.; de Vries, M.; Ursing, B.; de Vos, W.M.; Siezen, R.J. Complete genome sequence of Lactobacillus plantarum WCFS1. Proc. Natl Acad. Sci. USA 2003, 100, 1990– 1995. 20. Klaenhammer, T.; Altermann, E.; Arigoni, F.; Bolotin, A.; Breidt, F.; Broadbent, J.; Cano, R.; Chaillou, S.; Deutscher, J.; Gasson, M.; van de Guchte, M.; Guzzo, J.; Hartke, A.; Hawkins, T.; Hols, P.; Hutkins, R.; Kleerebezem, M.; Kok, J.; Kuipers, O.; Lubbers, M.; Maguin, E.; McKay, L.; Mills, D.; Nauta, A.; Overbeek, R.; Pel, H.; Pridmore, D.; Saier, M.; van Sinderen, D.; Sorokin, A.; Steele, J.; O’Sullivan, D.; de Vos, W.; Weimer, B.; Zagorec, M.; Siezen, R. Discovering lactic acid bacteria by genomics. Antonie van Leeuwenhoek 2002, 82, 29–58. 21. Kashket, E.R. Bioenergetics of lactic acid bacteria: cytoplasmic pH and osmotolerance. FEMS Microbiol. Rev. 1987, 46, 233– 244. 22. Konings, W.N.; Poolman, B.; Driessen, A.J.M. Bioenergetics and solute transport in lactococci. Crit. Rev. Microbiol. 1989, 16, 419 – 476. 23. Maloney, P.C. Microbes and membrane biology. FEMS Microbiol. Rev. 1990, 87, 91 – 102. 24. Poolman, B. Energy transduction in lactic acid bacteria. FEMS Microbiol. Rev. 1993, 12, 125 – 148. 25. Konings, W.N. The cell membrane and the struggle for life of lactic acid bacteria. Antonie van Leeuwenhoek 2002, 82, 3 – 27.

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Romano, A.H.; Brino, G.; Peterkofsky, A.; Reizer, J. Regulation of b-galactoside transport and accumulation in heterofermentative lactic acid bacteria. J. Bacteriol. 1987, 169, 5589– 5596. Jeffrey, S.R.; Dobrogosz, W.J. Transport of b-galactosides in Lactobacillus plantarum NC2. Appl. Environ. Microbiol. 1990, 56, 2484–2487. Hutkins, R.W.; Ponne, C. Lactose uptake driven by galactose efflux in Streptococcus thermophilus: evidence for a galactose-lactose antiporter. Appl. Environ. Microbiol. 1991, 57, 941– 944. Knol, J.; Veenhoff, L.; Liang, W.J.; Henderson, P.J.F.; Leblanc, G.; Poolman, B. Unidirectional reconstitution into detergent-destabilized liposomes of the purified lactose transport system of Streptococcus thermophilus. J. Biol. Chem. 1996, 271, 15358– 15366. Abe, K.; Uchida, K. Non-PTS uptake and subsequent metabolism of glucose in Pediococcus halophilus as demonstrated with a double mutant defective in phosphoenolpyruvate : mannose phosphotransferase system and in phosphofructokinase. Arch. Microbiol. 1990, 153, 537–540. Abdelal, A.T. Arginine catabolism by microorganisms. Annu. Rev. Microbiol. 1979, 33, 139 – 168. Crow, V.L.; Thomas, T.D. Arginine metabolism in lactic streptococci. J. Bacteriol. 1982, 150, 1024– 1032. Manca De Nadra, M.C.; Pesce de Ruiz Holgado, A.A.; Oliver, G. Arginine dihydrolase pathway in Lactobacillus buchneri: a review. Biochimie 1988, 70, 367 – 374. Driessen, A.J.M.; Poolman, B.; Kiewiet, R.; Konings, W.N. Arginine transport in Streptococcus lactis is catalyzed by a cationic exchanger. Proc. Natl. Acad. Sci. USA 1987, 84, 6093– 6097. Poolman, B.; Driessen, A.J.M.; Konings, W.N. Regulation of arginine-ornithine exchange and the arginine deiminase pathway in Streptococcus lactis. J. Bacteriol. 1987, 169, 5597– 5604. Postma, P.W.; Lengeler, J.W.; Jacobsen, G.R. Phosphoenolpyruvate : carbohydrate phosphotransferase system of bacteria. Microbiol. Rev. 1993, 57, 543 – 594. Saier, M.H.J. Bacterial phosphoenolpyruvate: sugar phosphotransferase systems : structural, functional, and evolutionary interrelationships. Bacteriol. Rev. 1977, 41, 856 – 871. Romano, A.H.; Trifone, J.D.; Brulston, M. Distribution of the phosphoenolpyruvate : glucose phosphotransferase system in fermentative bacteria. J. Bacteriol. 1979, 139, 93 – 97. Nagasaki, H.; Ito, K.; Matsuzaki, S.; Tanaka, S. Existence of phosphoenolpyruvate : carbohydrate phosphotransferase systems in Lactobacillus fermentum, an obligate heterofermenter. Microbiol. Immunol. 1992, 36, 533– 538. Fordyce, A.M.; Crow, V.L.; Thomas, T.D. Regulation and product formation during glucose or lactose limitation in nongrowing cells of Streptococcus lactis. Appl. Environ. Microbiol. 1984, 48, 332–337. Saier, M.H.J.; Chavaux, S.; Cook, G.M.; Deutscher, J.; Paulsen, I.T.; Reizer, J.; Ye, J-J. Catabolite repression and inducer control in gram-positive bacteria. Microbiology 1996, 142, 217– 230. Titgemeyer, F.; Hillen, W. Global control of sugar metabolism: a gram-positive solution. Antonie van Leeuwenhoek 2002, 82, 59 – 71. Henkin, T.M.; Grundy, F.J.; Nicholson, W.L.; Chambliss, G.H. Catabolite repression of alpha-amylase gene-expression in Bacillus subtilis involves a trans-acting gene-product homologous to the Escherichia coli lacl and galr repressors. Mol. Microbiol. 1991, 5, 575 – 584. Hueck, C.J.; Hillen, W. Catabolite repression in Bacillus subtilis: a global regulatory mechanism for the gram-positive bacteria? Mol. Microbiol. 1995, 15, 395 – 401. Luesink, E.J.; van Herpen, R.E.M.A.; Grossiord, B.P.; Kuipers, O.P.; de Vos, W.M. Transcriptional activation of the glycolytic las operon and catabolite repression of the gal operon in Lactococcus lactis are mediated by the catabolite protein CcpA. Mol. Microbiol. 1998, 30, 789–798.

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309.

310.

311.

312. 313. 314.

315.

316. 317. 318.

Thompson, J.; Turner, K.W.; Thomas, T.D. Catabolite inhibition and sequential metabolism of sugars by Streptococcus lactis. J. Bacteriol. 1978, 133, 1163 –1174. Ye, J.J.; Reizer, J.; Cui, X.; Saier, M.H., Jr. Inhibition of the phosphoenolpyruvate : lactose phosphotransferase system and activation of a cytoplasmic sugar-phosphate phosphatase in Lactococcus lactis by ATP-dependent metabolite-activated phosphorylation of serine 46 in the phosphocarrier protein HPr. J. Biol. Chem. 1994, 269, 11837– 11844. Ye, J.J.; Neal, J.W.; Cui, X.; Reizer, J.; Saier, M.H., Jr. Regulation of the glucose : H þ symporter by metabolite-activated ATP-dependent phosphorylation of HPr in Lactobacillus brevis. J. Bacteriol. 1994, 176, 3484–3492. Ye, J.J.; Reizer, J.; Cui, X.; Saier, M.H., Jr. ATP-dependent phosphorylation of serine-46 in the phosphocarrier protein HPr regulates lactose/H þ symport in Lactobacillus brevis. Proc. Natl. Acad. Sci. USA 1994, 91, 3102– 3106. Hoefnagel, M.H.; Starrenburg, M.J.; Martens, D.E.; Hugenholtz, J.; Kleerebezem, M.; Van, S., II; Bongers, R.; Westerhoff, H.V.; Snoep, J.L. Metabolic engineering of lactic acid bacteria, the combined approach: kinetic modelling, metabolic control and experimental analysis. Microbiology 2002, 148, 1003– 1013. Jensen, P.R.; Hammer, K. Artificial promoters for metabolic optimization. Biotechnol. Bioeng. 1998, 58, 191– 195. Koebmann, B.J.; Andersen, H.W.; Solem, C.; Jensen, P.R. Experimental determination of control of glycolysis in Lactococcus lactis. Antonie van Leeuwenhoek 2002, 82, 237 – 248. Poolman, B.; Bosman, B.; Kiers, J.; Konings, W.N. Control of glycolysis by glyceraldehyde3-phosphate dehydrogenase in Streptococcus cremoris and Streptococcus lactis. J. Bacteriol. 1987, 169, 5887–5890. Solem, C.; Koebmann, B.J.; Jensen, P.R. Glyceraldehyde-3-phosphate dehydrogenase has no control over glycolytic flux in Lactococcus lactis MG1363. J. Bacteriol. 2003, 185, 1564– 1571. Gue´don, E.; Jamet, E.; Renault, P. Gene regulation in Lactococcus lactis: the gap between predicted and characterized regulators. Antonie van Leeuwenhoek 2002, 82, 93 – 112. Møretrø, T.; Hagen, B.F.; Axelsson, L. A new, completely defined medium for meat lactobacilli. J. Appl. Microbiol. 1998, 85, 715 – 722. Lindgren, S.E.; Dobrogosz, W.J. Antagonistic activities of lactic acid bacteria in food and feed fermentations. FEMS Microbiol. Rev. 1990, 87, 149 – 163.

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Future Research and Development

615

Hoang-Dung TRAN and friends and precision, as they did thousands of years ago. We hope that this volume convinces the reader that new and novel applications based on a better understanding on the potential of lactic acid bacteria in biotechnology, and especially of their role in promoting health and combating disease, are emerging. The potential significance more than justifies multidisciplinary research in this field, with targets in both food and feed development and promoting human and animal health and well-being.

REFERENCES 1.

2.

Steidler, L.; Neirynck, S.; Huyghebaert, N.; Snoeck, V.; Vermeire, A.; Goddeeris, B.; Cox, J.; Remon, J.R.; Remaut, E. Biological containment of genetically modified Lactococcus lactis for intestinal delivery of human interleukin 10. Nat. Biotechnol. 2003, 21, 785 – 789. Grangette, C.; Mu¨ller-Alouf, H.; Geoffroy, M.-C.; Goudercourt, D.; Turneer, M.; Mercenier, A. Protection against tetanus toxin after intragastric administration of two recombinant lactic acid bacteria: impact of strain viability and in vivo persistance. Vaccine 2002, 20, 3304– 3309.

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Hoang-Dung TRAN and friends

2 Bifidobacteria and Probiotic Action JEAN BALLONGUE Universite´ de Nancy 1, Vandoeuvre-les-Nancy, and Centre de Recherche International Andre´ Gaillard, Ivry-sur-Seine, France

The medical world has long been interested in the nutrient properties of yogurt. The theory of Metchnikoff,[1] which holds that milk fermented with Lactobacillus has a favorable influence on the endogenous intestinal flora, was challenged in 1915 by Rahe, who demonstrated that these microorganisms do not survive passage through the stomach and small intestine. Subsequently, numerous studies have been carried out on Lactobacillus. The frequently contradictory findings are due to the unreliability of the methods for isolating and identifying bacteria from stools. Nutritionists subsequently turned their attention to other microorganisms. According to Gurr et al.,[2] “the microorganisms with the best chance of passing through the stomach and small intestine and colonizing the medium are those endogenous to the species consuming the fermented product.” Research has been focused on the genus Bifidobacterium, which, unlike the bacteria of yogurt, which are not obtained from human ecosystems, are isolated from animals and humans. The probiotic effects of Bifidobacterium, already alluded to when they were first discovered in 1899,[3] were demonstrated by Manciaux in 1958.[4] The therapeutic properties of this genus of bacterium led the Japanese to introduce it to their diet.[5 – 7] Since 1986, the traditional microflora of yogurt—Streptococcus salivarius ssp. thermophilus and Lactobacillus delbrueckii spp. bulgaricus—have been enhanced by a third bacterium belonging to the genus Bifidobacterium and sometimes associated with Lactobacillus acidophilus. This new product with pleasant organoleptic qualities has aroused considerable interest from consumers, who were soon followed by dairy industrialists and medical teams. Note: This chapter is reprinted from the previous edition.

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I.

Ballongue

Hoang-Dung TRAN and friends THE BIFIDOBACTERIA: DISCOVERY AND HISTORY

In 1899 at the Institut Pasteur, Tissier observed and isolated from stools of infants a bacterium with a very unusual and hitherto unknown Y-shape. Where to place this bacterium within the classification system was then addressed. At the beginning of the century, taxonomy was based entirely on morphological criteria, and Tissier[3] named this bacterium Bacillus bifidus communis. In Italy at about the same time Moro[8] discovered in similar conditions a bacterium different from that of Tissier, which he identified as belonging to the genus Lactobacillus. Despite the differences between these two bacteria, Holland[9] proposed a common name, Lactobacillus bifidus, which was to develop and gain precision as time passed in parallel with the progress in biology. Orla-Jensen,[10] using new methods, was responsible for a decisive shift in the direction of the history of taxonomy. The classification and identification of microorganisms, which had hitherto been based entirely on their morphology, henceforth took into account new criteria: the physiology, nutritive requirements of the energy metabolism, and above all metabolic and enzymatic characteristics of the organism. Thus, in 1967 De Vries and Stouthamer[11] demonstrated the presence in bifides of fructose-6-phosphate phosphoketolase (F6PPK) and the absence of aldolase and glucose-6-phosphatase dehydrogenase, two enzymes found in the lactobacilli. They therefore concluded that the classification of the bifidobacteria in the genus Lactobacillus is not justified. Two trends were distinguished: the French school, which was for the separation of the genera Lactobacillus and Bifidobacterium to combine all bifid bacteria under the single classification of B. bifidum,[9,10,12 – 14] and the Anglo-Saxon school, which preferred to integrate the bifidobacteria in the genus Lactobacillus. Table 1 summarizes the various names proposed for this bacterium since its discovery[15] (see Table 8 for species isolated to date). The advent of chemotaxonomy in the 1960s marked the beginning of another period in bacterial taxonomy. Research into the biochemistry of the prokaryotes has shown that analysis of the cell constituents could become an essential tool in the classification and identification of bacteria. The development of instruments of analysis made it possible to obtain accurate and reproducible data, minimize errors in individual research, and eliminate subjective judgments.[16] In 1965, with progress in molecular genetics, the teams of Sebald et al.[17] and Werner et al.[18] showed that the percentage of guanine þ cytosine (G þ C%) in the DNA of Bifidobacterium differed from that of Lactobacillus, Corynebacterium, and Propionibacterium. In 1974, the 8th edition of Bergey’s Manual of Determinative Bacteriology recognized Bifidobacterium as a genus in its own right consisting of 11 species.[19] Today, this genus, which belongs to the Actinomycetaceae family,[20] includes 24 species, which are grouped according to their ecological origin: 15 are isolated only from animals, and 9 colonize the natural cavities of humans.[21]

II.

MORPHOLOGY

The bacteria of the genus Bifidobacterium present a globally bacillar form, show grampositive staining, and are immobile and nonsporulate. These rods, with an irregular outer wall, are usually concave, and their extremities are generally swollen to form “lumps,” which may have certain ramifications. It is,

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Table 1

Chronology of the Taxonomy of Bifidobacterium

Name

Author

Year

Bacillus bifidus Bacteroides bifidus

Tissier Castellani and Chalmers

Lactobacillus bifidus Bifidobacterium bifidum Bacterium bifidum Tisseria bifida Nocardia bifida Actynomices bifidus Actinobacterium bifidum Lactobacillus acidophilus var. bifidus

Bergey’s Manual, eds. 1– 4 Holland Orla-Jensen Lehmann and Neumann Pribram Vuillemin Nannizzi Puntoni Weiss and Rettger

1900 1919 1923– 1934 1920 1924 1927 1929 1931 1934 1937 1938

Lactobacillus parabifidus Bifidobacterium bifidum Lactobacillus bifidus Cohnistreptothrix bifidus Corynebacterium bifidum Lactobacillus bifidus Lactobacillus bifidus var. pennsylvanicus

Weiss and Rettger Prevot Bergey’s Manual, eds. 5– 7 Negrovi and Fischer Olsen Norris et al.

Five groups of bifidus bacteria Description of human species New animal species New animal species New animal species Creation of the genus Bifidobacterium constituted by 11 species

Gyo¨rgy Dehnert Reuter Mitsuoka Scardovi Holdemann and Moore Bergey’s Manual, ed. 8

1938 1938 1939– 1957 1944 1949 1950 1953 1957 1963 1969 1969 1972 1974

Source: From Ref. [15].

however, not unusual to encounter more rounded shapes as well as very long or short bacilli of varying widths. Gram staining reveals a frequently irregular distribution of chromatin, which often accumulates in the bifurcations or lumps.[22,23] However, this polymorphism cannot be assimilated to degeneration since these forms can generate the initial forms once more.[22] It would appear rather that the composition of the culture medium is responsible for these V-, Y-, or X-shaped forms encountered in the genus Bifidobacterium. Several medium constituents may influence the shape of these bacteria: The concentration of N-acetylglucosamine, involved in the synthesis of peptidoglycan (Fig. 1), affects the shape of B. bifidum var. pennsylvanicus.[24] Various amino acids (alanine, aspartic acid, glutamic acid, and serine).[25] Ca2þ ions.[26 – 28] The lower the levels of N-acetylglucosamine and amino acids, the more highly branched are the shapes. In contrast, in a favorable medium the bacilli are longer.[22]

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Ballongue

Hoang-Dung TRAN and friends

Figure 1

Oxygen dissimilation in Bifidobacterium.

III.

PHYSIOLOGY

A.

Respiratory Type

The bifidobacteria are strictly anaerobic microorganisms. However, the degree of tolerance of oxygen depends on the species and culture medium.[29] Three types of responses are observed during the switch from anaerobiosis to aerobic conditions: Aerobic growth without the accumulation of H2O2: a strain of B. bifidum which is relatively aerotolerant, forms small quantities of H2O2 by NADH oxidation. The absence of H2O2 seen in liquid aerobic culture devoid of catalase of NADH peroxidase activity can be explained by an unknown peroxidase system, which could destroy the H2O2. Limited growth with the accumulation of H2O2, the accumulation of hydrogen peroxide is considered to be toxic for the key enzyme in the sugar metabolism of Bifidobacterium: fructose-6-phosphate phosphoketolase (F6PPK).[15] No growth without the accumulation of H2O2: the strains tested require a low redox potential for growth and fermentation. In the presence of CO2, the sensitivity to oxygen varies considerably depending on the strain. Among the strains able to develop in the presence of oxygen, some remain catalase negative, others become catalase positive, and for others still the presence of catalase is linked to the presence of hemin in the medium.[20] A study of the absorption of oxygen by five strains of Bifidobacterium of human origin has shown that the partial pressure of oxygen falls in the medium during the multiplication of these strains. The endogenous absorption of oxygen is linked to

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Bifidobacteria and Probiotic Action

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Hoang-Dung TRAN and friends the presence of NADH oxidase. It takes place even in the absence of glucose and appears to depend directly on the quantity of polysaccharides accumulated in the cells. Furthermore, all strains accumulated hydrogen peroxide, which is subsequently reduced by NADH peroxidase, but the activity of this enzyme varied depending on the strain investigated. The strains most sensitive to oxygen had low NADH peroxidase activity, resulting in an accumulation of toxic hydrogen peroxide. Another possibility would be the prevention of multiplication by the presence of active oxygen such as superoxide. These conclusions are summarized in Fig. 1.[30] The mutants of some strains identified at the time as B. bifidum characterized by the loss of strictly aerobic character have been isolated,[22,31] but these early studies should be repeated in view of the difficulty in identifying species of Bifidobacterium at the time these studies were performed.

B.

Temperature and pH

The optimum temperature for the development of the human species is between 36 and 388C. In contrast, that for the animal species is slightly higher, about 41 –438C and may even reach 46.58C. There is no growth below 208C, and the bacteria of this type have no thermoresistance above 468C: B. bifidum dies at 608C.[15] The initial optimum growth pH is between 6.5 and 7.0. No growth can occur below 5.0 or above 8.0.[20]

IV.

METABOLISM

A.

Sugar Metabolism

In the genus Bifidobacterium hexoses are degraded exclusively and specifically by the fructose-6-phosphate pathway described by Scardovi and Trovatelli.[32] Aldolase and glucose-6-phosphate dehydrogenase are absent, whereas fructose-6-phosphate phosphoketolase is found[11] (Fig. 2).

B.

Metabolites

The fermentation of two moles of glucose leads globally to three moles of acetate and two moles of lactate. In reality, pyruvic acid can be broken down along two pathways: the first is the reduction of the pyruvate to form L (þ)-lactate by L (þ)-dehydrogenase (E.C. 1.1.1.27), an enzyme controlled by fructose-1,6-diphosphate. The second pathway involves the splitting of pyruvate by phosphoroclastic enzyme to form formic acid and acetyl phosphate, a portion of which is subsequently reduced to form ethyl alcohol and so regenerate NAD. However, tests carried out to detect phosphoclastic enzyme have been unsuccessful.[33] The proportions of the final fermentation products vary considerably from one strain to another and even within the same species.[33] Small quantities of succinic acid are produced by some strains, and a small amount of CO2 may be produced during the degradation of gluconate.[20]

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Ballongue

Hoang-Dung TRAN and friends

Metabolic pathway of Bifidobacterium. 1 ¼ hexokinase and glucose-6-phosphate isomerase; 2 ¼ fructose-6-phosphate phosphocetolase; 3 ¼ transaldolase; 4 ¼ transketolase; 5 ¼ ribose-5-phosphate isomerase; 6 ¼ ribulose-5-phosphate epimerase; 7 ¼ xylulose-5-phosphate phosphocetolase; 8 ¼ acetate kinase; 9 ¼ homofermentative pathway enzymes; 10 ¼ L (þ) lactate dehydrogenase; 11 ¼ phosphoroclastic enzyme; 12 ¼ formate dehydrogenase (EC 1.2.1.2); 13 ¼ alcohol dehydrogenase (EC 1.1.1.1).

Figure 2

C.

Enzymes

The final fermentation products are formed by the sequential action of transaldolase, transketolase, xylulose-5-phosphate phosphoketolase, and enzymes belonging to the Embden-Meyerhoff-Parnas pathway, which act on glyceraldehyde-3-phosphate. The characteristic enzyme of sugar metabolism by the genus Bifidobacterium is fructose-6-phosphate phosphoketolase (F6PPK, EC 4.1.2.22). This enzyme, which is specific to the genus, is absent in the anaerobic bacteria which could be morphologically

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Bifidobacteria and Probiotic Action

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Hoang-Dung TRAN and friends confused with the bifidobacteria, that is, Lactobacillus, Arthrobacter, Propionibacterium, Corynebacterium, and Actinomycetaceae.[32] Biavati et al.[35] have demonstrated, using electrophoresis in starch gel (zymogram) followed by comparison of electrophoretic metabolism, three different types of this enzyme depending on the ecological source of the strain: mammalian, bee, or human.[36] The F6PPKs of B. globosum (animal type) and B. dentium (human type) have been purified.[37] Using the same method, 14 isoenzymes of transaldolase (EC 2.2.1.2) and 29 isoenzymes of 6-phosphogluconate dehydrogenase (6PGD) (EC 1.1.1.44) have been identified.[37] Transaldolase is an apparently essential enzyme characteristic of the fructose-6-phosphate shunt, but 6PGD is apparently nonfunctional in the bifidobacteria, at least in cells cultured on glucose, which are generally deficient in detectable glucose6-phosphate dehydrogenase.[32] Some research has been carried out on other less characteristic enzymes:

1.

2. 3.

D.

Miura et al.[38] determined the following activities by HPLC: Arylsulfatase (R-sulfate þ H2O ! R – OH þ sulfate). b-glucuronidase (R-glucuronide þ H2O ! R – OH þ glucuronic acid) and b-glucosidase (hydrolysis of the aryl- or alkyl-b-glycosides). Galactokinase (EC 2.7.1.6) (galactose þ ATP ! galactose-1-phosphate þ ADP) of B. bifidum purified and characterized after growth on galactose.[39] Tochikura et al.[40] purified b-D -galactosidase from B. longum (lactose þ H2O ! galactose þ glucose). Desjardins and Roy[41] used API ZYM systems to determine 22 strains of human origin that possess a- and b-galactosidases and a-glucosidase activities. In contrast, b-glucosidase has not been detected in either B. bifidum or B. longum. This method can, however, be used in a preliminary study. These studies were confirmed in the same year by Chevalier et al.[42] b-Glucosidase, b-glucuronidase, and N-acetylglucosaminidase activities have also been demonstrated.

The Vitamins Produced

Deguchi et al.[43] were interested in the synthesis of six vitamins by Bifidobacterium of human origin: thiamine (B1), riboflavin (B2), pyridoxine (B6), folic acid (B9), cyanocobalamine (B12), and nicotinic acid (PP). Five of these vitamins (with the exception of riboflavin) are synthesized by most of the strains examined, and a large proportion of each (B6, B9 and B12) is excreted. These authors also note that with regard to thiamine, folic acid, and nicotinic acid, B. bifidum and B. infantis are good producers, whereas B. breve and B. longum release small quantities and B. adolescentis does not synthesize any of these vitamins. The production of vitamins B2 and B6 by B. longum is exceptional. B. breve and B. infantis are characterized by a high level of production of vitamins PP and H, respectively. The results are shown in Table 2. E.

Nutrient Requirements

1. Nitrogenous Matter Most strains of Bifidobacterium are able to use ammonium salts as their only source of nitrogen.[44] However, B. suis, B. magnum, B. choerinum, and B. cuniculi develop only

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Ballongue

Hoang-Dung TRAN and friends

Table 2

Vitamin Production by Bifidobacterium B. breve

B. infantis

B. longum

B. bifidum

B. adolescentis

þ þ þþ þ þ þþ þþþ þþ

þþþ þ þþ þþþ þþ þþ þþþ þþþ

þ þþþ þþþ þ þþþ þþþ þ þþ

þþþ þþ þ þþ þ þþ þþþ þþ

þ þ þþ þ þ þ þ þþ

Thiamine (B1) Riboflavin (B2) Pyridoxine (B6) Folic acid (B9) Cobalamine (B12) Ascorbic acid (C) Nicotinic acid (PP) Biotin (H)

in the presence of organic nitrogen. In vitro and in the absence of any organic source of nitrogen, the bifidobacteria may synthesize large quantities of amino acids. B. bifidum, for example, produces alanine, valine, and aspartic acid and up to 150 mg/L of threonine.[45] According to Hatanaka et al.[46,47] the glutamine synthetase and glutamate dehydrogenase of the Bifidobacterium may be involved in the assimilation of nitrogenous compounds by these microorganisms. 2.

Trace Elements

B. bifidum grows only in the presence of magnesium, manganese, and above all iron. Iron may be assimilated by B. bifidum in both oxidation forms depending on the acidity of the medium.[48 – 51] Fe2þ ferrous iron is used at pH 5. Transport depends on a membrane ATPase, and its incorporation may be competitively inhibited by zinc.[48] Fe3þ ferric iron is used only at neutral pH. Through the intermediary of ferroenzymes, iron is involved in the production of acetic acid by B. bifidum. 3.

Vitamins

It is impossible to draw up any rule for the genus Bifidobacterium with regard to vitamin requirements. Strains of human origin seem to need thiamine (B1), pyridoxine (B6), folic acid (B9), cyanocobalamine (B12), and nicotinic acid (PP) for their growth (Teraguchi et al., 1984).[43] 4.

Growth Factors

Poch and Bezkorovainy[52] supplemented an entirely synthetic minimum base medium with growth factors in order to identify those essential to the development of the various species of Bifidobacterium. Only B. adolescentis and B. longum were able to develop in the unsupplemented medium. All the other species required the presence of growth factors of various types. Bifidigenic Factors. In 1953, Gyo¨rgy[53] discovered a strain of B. bifidum (then known as L. bifidus) which was to develop only in the presence of human milk and more specifically in the presence of derivatives of N-acetylglucosamine[54 – 56] and showed soon afterwards that the strain B. bifidum Tissier required protein factors and not N-acetylated sugars for its development. In fact, the species B.bifidum can be divided into two variants: the “A” variant or B. bifidum, which Tissier found in adult human beings, and the “B” variant or B. bifidum

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Hoang-Dung TRAN and friends var. pennsylvanicus, which Gyo¨rgy isolated from infants. These observations suggest that the various strains of the same species B. bifidum have differing nutritive requirements, B. bifidum var. appears to be insensitive to N-acetylglucosamine derivatives and to require protein factors in the same way as B. longum and B. infantis, whereas the “B” variant of B. bifidum requires the sugar factors from human milk in varying quantities depending on the strains.[57 – 59] Most species of the genus Bifidobacterium are unable to develop in a totally synthetic medium and require complex biological substances such as bovine casein digestate, lactoserum of bovine milk, porcine gastric mucin, or yeast extract.[52,60] These growth factors required for the development of Bifidobacterium are known as bifidigenic factors. We can now distinguish three main groups of bifidigenic factors which differ depending on the species with which we are concerned:[61] the BB factors (BFl, BF2, and glycoproteins) and the BI and BL factors (Table 3). BB FACTORS . The factors BBa and BBb are characterized as the elements in human milk that do not lose their stimulant activity for B. bifidum var. a and B. bifidum var. b, respectively, heating or irradiation. The BBa factors are found mainly in yeast extracts, liver extracts, lyophilized milks, bovine casein hydrolysate, and porcine mucin,[23,62,63] whereas colostrums, human milk and rat milk,[64,65] human casein hydrolysates,[62] and porcine mucin[23] contain BBb factors (Table 3). Three groups of natural BB factors can be distinguished.

1.

Gyo¨rgy’s bifidus factor I or BF1. This is factor BF1 found in milk and colostrum and in the form of gynolactose, which is active particularly on variant b. It would seem that the presence of an N-acetylglucosamine structure in the oligosaccharide structure is essential but not sufficient to the expression of bifidigenic activity.[66] In addition, B. bifidum var. pennsylvanicus has N-acetyl-D glucosaminidase activity, which is considerably greater than that found for other bifidobacteria.[41] Native human casein[66] or its trypsin hydrolysate[63] consisting of glycoproteins may be effective versus B. bifidum var. b. The trypsin or chymotrypsin hydrolysis of native human k-casein gives rise to fractions containing 60– 70% of sugars such as galactose, glucosamine, and galactosamine, which are themselves active. The mucins (glycoproteins of mucus) are produced and secreted by the mucus cells of the salivary glands, the esophagus, the stomach, the small intestine, and colon. Their molecular weight exceeds one million daltons.[67] The mucins, which are the major constituents of mucus[68] consist of 70– 80% sugar.[69] The oligosaccharide chains contain between 2 and 20 monosaccharide residues, which may be the following: galactose, fucose, N-acetylgalactosamine, N-acetylglucosamine, and sialic acid. These oligosaccharide chains are linked to peptide segments accounting for 20% of the weight of the molecule and consisting of more than 70% proline, serine, and threonine. Porcine gastrointestinal mucins and the meconium are an abundant source of BB factors. The activity of the meconium in vitro is 1.2– 2 times greater than that of human milk.[53] Mild hydrolysis of the mucins give rise to oligosaccharides similar to those in human milk.[70,71]

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BL

B. longum

B. bifidum var. a B. bifidum var. a B. bifidum var. b B. infantis

BF2 Glycoproteins

BI

B. bifidum var. b

BF1

BB

Species concerned

Source

Plant extracts Liver extracts Milk Plant extracts Liver extracts Milk

Milk and colostrum Human casein hydrolysate Mucins Casein hydrolysate Human milk and colostrum

Characteristics of the Main Bifidigen Factors

Bifidigen factor

Table 3

þ

+

2

+

2

þ

Ray.

þ

þ

Heat

Resistance

2

Lyoph.

Proteic different from BB factors

Proteic part

Nonglycosylated peptides Glucidic part

N-Acetylglucosamine glycoproteins

Active structure

76 Ballongue

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3.

77

Hoang-Dung TRAN and friends BF2 factors. Their nature has been described essentially by Raynaud[56] from a strain of B. bifidum var. a. They appear to consist of nonglycosylated peptides obtained by the action of a protease on casein. Glycoproteins. The glycoproteins isolated from human colostrum and milk lactoserum appear to be effective versus both variants, and this type of activity appears to be related to their sugar fraction.[66]

BI AND BL FACTORS . The BI factor, which stimulates the growth of B. infantis, is destroyed by lyophilization, whereas the BL factor, which activates the growth of B. longum, is sensitive to heating and irradiation. These factors are abundant in many plant extracts as well as liver and milk extracts. The BI factors from human milk are of two types: thermo- and radiolabile BI and thermo- and radiostable BI. These factors are proteins, as are the BL factors of human milk.[59] ACTIVE CONSTITUENTS OF THE BIFIDIGENIC FACTORS. The factors with general activity are hydrolysates of bovine casein and yeast extracts rather than human milk lactoserum. The other growth factors, human or bovine milk lactosera, porcine gastric mucin, and bovine albumin serum digestate, are active with regard to certain species only.[52] In fact, the disulfide/sulfhydryl residues of k-casein are important biologically active compounds responsible for this phenomenon in B. bifidum and B. longum. The growth-promoting activity resides in the k-casein portion and not in the carbohydrate portion after trypsin digestion. It appears that the combination of disulfide/sulfhydryl residues with something else is the basis of the microbial growth-promoting activity in hydrolysates of casein, porcine gastric mucin, and yeast extract.[72] ROLE OF THE BIFIDIGENIC FACTORS AND CONCLUSION . In vivo, the administration of a dairy-based food supplemented with BF1 or BF2 factor to infants restores the bifidum flora partially.[73] These early studies should, however, be repeated on the basis of the recent understanding of the taxonomy of Bifidobacterium and the biochemistry of the bifidigenic factors, which appear to be highly complex. The correlation between a given factor and a given species appears to be an important aspect of the study of the bifidigenic factors. It would be important to explore the specificity of these factors with regard to the species of Bifidobacterium that colonize the intestine, since the degree of difference between the collection strains and strains encountered in nature is doubtless considerable. Furthermore, the studies conducted were carried out in vitro or in vivo on axenic or monoxenic animals, and these require extrapolation to humans. What is the influence of the “bifidigenic” factors on the other bacterial genera of the intestinal flora and particularly of the human flora?

Lactoferrin. Lactoferrin and its three metal complexes (Fe, Cu, Zn) have a promoting effect on the growth of eight species of Bifidobacterium, five of human origin and three of animal origin, at the beginning of the logarithmic growth phase. Furthermore, these lactoferrin-metal complexes demonstrate an anti-bacterial activity versus E. coli and Staphylococcus aureus.[74] Lactulose and Lactitol. Lactulose (4-O-b-D -galactopyranosyl-D -fructose) is not metabolized by human or animal species. Lactulose, which is not detected in raw milk, is present in dairy products subjected to heat treatment. Manciaux[4] reported that Petuely, in the 1930s, isolated lactulose from human milk. In vivo, lactulose can increase the development of B. bifidum. However, this factor is not active in vitro and is not present in the free state in mother’s milk. According to Petuely,[75] its action is

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Hoang-Dung TRAN and friends due to the fact that it resists better than lactose degradation by lactases in the digestive tract and can therefore be used massively by the bifidobacteria. Lactulose is not used specifically by the bifidobacteria and may be metabolized by other intestinal bacteria, as must be the case for the bifidigenic factors.[76] Lactitol is considered to be a bifidigenic factor with a less marked effect.[77]

Oligoholosides and Polyholosides. Raffinose, stachyose, and insulin (polyfructose) with molecular weights of less than 4500 are used only by B. infantis and not by other intestinal bacteria such as E. coli, L. acidophilus, and S. faecalis. Oligosaccharides higher than the trisaccharide of inulin and the tri- to pentasaccharides of dextran are also metabolized specifically by B. infantis. In contrast, the oligosaccharides of amylose and cellulose are not specific to B. infantis and B. breve.[76] Fructooligosaccharides. These polymers of fructose with a degree of polymerization of between 2 and 35 have a stimulant effect on the growth of bifidobacteria.[78] They are metabolized by bifidobacteria and also by other types of bacteria and are not degraded by human digestive enzymes nor generally by undesirable microorganisms within the digestive tract. The most important source of fructooligosaccharides is the Jerusalem artichoke tuber.[77] Today it is easier to prepare a similar substance by an enzymatic route from sugar[78,79] than to purify fructooligosaccharides from natural sources.[80]

V.

RESISTANCE TO ANTIBIOTICS

Knowing which antibiotics the bifidobacteria are resistant to is of interest for two reasons: 1. 2.

It offers the possibility of maintaining the bifidobacteria in the digestive tract without aggression, particularly during antibiotic treatment. It makes it possible to incorporate antibiotics as selective agents in culture media for the isolation of bifidobacteria from complex flora derived from medical or dietary samples.

The sensitivity of bifidobacteria has been the subject of little research, and the works done before the publication of an international standard are difficult to compare because experimental conditions vary. However, we can accept the following points: most bifidobacteria are resistant to numerous antibiotics—notably to nalidixic acid, gentamicin, kanamycin, metronidazole, neomycin, polymyxin B, and streptomycin—but the sensitivity of the species varies from 10 to 500 or more mg antibiotic/mL[73] in B. bifidum.[81,82] In contrast, ampicillin, bacitracin, chloramphenicol, clindamycin, erythromycin, lincomycin, nitrofurantoin, oleandomycin, penicillin G, and vancomycin strongly inhibit most species.[20] Sensitivity to tetracycline varies from one species to another and even from one strain to another (Matteuzi, unpublished; Ref. 73).

VI.

CULTURE MEDIA AND CULTURE PARAMETERS

Three types of medium have been designed for the isolation, culture, and characterization of bifidobacteria: complex, semisynthetic, and synthetic media.

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A.

Complex Culture Media

These richly varied media are prepared from liver or meat extracts, a wide range of peptones, yeast extract, tomato juice, horse blood, or human milk and permit the growth of as many strains of Bifidobacterium as possible. In addition, they are supplemented with substances with a low redox potential: cysteine, cystine, ascorbic acid, or sodium sulfite.[15] A wide range of complex culture media have been proposed in recent years. We will consider the following: BL agar medium, described by Ochi et al.[83] and then by Mitsuoka et al.[5,84] and finally slightly modified by Teraguchi et al.,[85] is considered to be the optimum culture medium for the detection of bifidobacteria. Scardovi’s tryptone phytone yeast medium (TPY)[20,21] can be used for the culture and isolation of bifidobacteria but also of other lactic bacteria from all habitats. Mention should also be made of the YN-6 medium[86] and YN-17 medium.[87] These media are not very efficient since YN-6 medium inhibits some species of Bifidobacterium but allows other genera to develop,[88] whereas YN-17 medium inhibits some of the bifidum population.[89] B.

Semisynthetic Culture Media

Complex constituents of known composition are included in these media. We will note particularly the following: Tomarelli’s medium[90] for the culture of B. bifidum Norris’s medium,[31] which is a modification of the Tomarelli medium Gyo¨rgy’s medium,[65] which is also a modified Tomarelli medium. C.

Entirely Synthetic Culture Media

All the constituents of these media are chemically defined. Petuely[75] was the first to propose a synthetic culture medium. Hassinen medium.[44] Gyllenberg modified the Petuely medium.[91] Tanaka and Mutai medium.[92] Ueda et al.[51] developed a synthetic medium for the culture of the ES5 strain of B. bifidum. Poch and Bezkorovainy medium.[52] D.

Selective Culture Media

The media listed above are efficient for the maintenance of pure strains but are less effective for isolating them from complex flora since they often permit the growth of other genera. Since the physiological requirements of bifidobacteria are extremely varied, it is difficult to define a selective medium appropriate for all species.[20] Since the recent enthusiasm for incorporating bifidobacteria in fermented dairy products, several selective media have been proposed in order to differentiate between Bifidobacterium and other lactic bacteria and to isolate bifidobacteria from the intestinal flora.

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Hoang-Dung TRAN and friends Initially, ascorbic acid and sodium azide were used as selective substances.

Beck[93] isolated Bifidobacterium on a medium containing added bifidigenic growth factors (N-acetyl-D -glucosamine). The relatively low pH of this medium (5.8) and anaerobiotic culture makes it possible to eliminate most enterobacteria. Chang et al.[94] modified the MRS agar medium, the new medium containing cysteine, azide, and China ink in order to isolate numerous species of Bifidobacterium. Matteuzzi et al.[82] suggested the addition of 80 mg of kanamycin/mL to the medium. However, intraspecific variations of resistance are so great that the isolation of unknown strains with a medium of this type would be unreliable. Ushiima et al.[95] were able to selectively isolate B. adolescentis from a complex gastric flora by using selective agents: polymyxin, propionate, and linoleate. Sonoike et al.[96] took into account the fact that bifidobacteria are able to metabolize carbohydrates such as fructo- and galactosyl-oligosaccharides. Twenty-two species of Bifidobacterium are able to develop on a medium containing transgalactosylated oligosaccharides as a carbon source. Munoa and Pares[89] attempted to quantify Bifidobacterium from water on a new selective medium: Bifidobacterium iodoacetate medium 25 (BIM-25). This medium is a reinforced clostridial medium (RCM) containing added antibiotics (nalidixic acid, polymyxin B, kanamycin), iodoacetic acid, and 2,3,5-triphenyltetrazolium chloride (TTC). Iodoacetate, which inhibits glyceraldehyde-3-phosphate dehydrogenase, considerably reduces the growth of nonbifidum colonies. TTC makes it possible to differentiate between Bifidobacterium and other species since the bifidobacteria develop in large white colonies. Poch et al.[52] supplemented a synthetic base medium with various substrates in order to identify the growth factors necessary for each species of Bifidobacterium. The base medium was similar to Norris’s medium.[97] Mitsuoka used propionate as one of the selective agents added to BL agar medium for the selective counting of intestinal bifidobacteria. The BS agar medium thus obtained is not entirely satisfactory for the detection of bifidum in the stools. Beerens[98] proposed a selective and elective medium by adding 5 g/L of propionic acid to Colombia agar and adjusting the pH to 5.5. This medium is relatively commonly used. E.

Culture Parameters

The appearance of the colonies of Bifidobacterium cultured on agar medium under anaerobic conditions may vary in function of the medium and the species used, but also within a given species. In general, the colonies formed are round, dull or glossy and of variable diameter, but Scardovi[20] and Boventer[99] distinguished two differing types of colony for B. bifidum. Some colonies were smooth, convex, white, and shiny, whereas other colonies were rough, with uneven edges and map. VII.

COMPOSITION OF THE WALL

The main constituent of the bacteria wall of the genus Bifidobacterium (gram-positive) is mucopeptide, peptidoglycan, or murein. This is macromolecule consisting of linear

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Hoang-Dung TRAN and friends polysaccharide chains which are linked with each other by tetrapeptide bridges associated with peptides. The polysaccharide chain consists of alternating N-acetylglucosamine (NAG) and N-acetylmuramic acid (NAM). The tetrapeptides are linked to the NAM residues and to each other through the intermediary peptides (Fig. 3). The amino acids constituting the various peptides are alanine, glutamic acid, ornithine or lysine associated with one or two of the following: glycine, serine, aspartic acid, or threonine.[100,101] The amino acids may be the same or may differ from one strain to another, but even if they are the same, their sequence within the tetrapeptide and their types of cross-linkage may vary,[102] i.e., may consist of a simple amino acid, a dipeptide, or even a tripeptide. B. longum, for example, possesses an ornithine-type tetrapeptide and the link peptide is [15] L -Ser – L -Ala – L -Thr – L -Ala. This macropeptide is covalently linked to other macromolecules, such as (a) polyosides: glucose, galactose, and rhamnose comprising the polysaccharide portion of the wall, and (b) teichoic acids, which are polymers of glycerol phosphate. These teichoic acids are attached to the NAG-NAM skeleton of the peptidoglycan.

VIII. A.

CHARACTERISTICS OF THE GENOME DNA Base Composition

The G þ C% of the bacteria of the genus Bifidobacterium is between 57.2 and 64.5%.[17,20]

Figure 3

Peptidoglycan structure of Bifidobacterium bifidum. (From Ballongue, 1989.)

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B.

Plasmids

Of the 24 species of Bifidobacterium, only 5 species have plasmids:[103,104] 1. 2. 3. 4. 5.

B. longum contains 13 model plasmids (1.25 – 9.5 MDa).[104,105] B. globosum contains a plasmid belonging to each of the three molecular weight categories (13.5, 24.5, and 46 MDa). B. asteroides has 14 types of plasmids (1.2 – 22 MDa), which are structurally very varied. (B. Sgorbati, unpublished). B. indicum: 60% of the strains isolated contain a single 22 MDa plasmid. B. breve: Iwata et al.[106] have demonstrated plasmids in 40% of the strains of this species, even though Sgorbati et al.[103] had not found any plasmid in B. breve.

In some strains these plasmids may be temperate phages, but this appears to be unusual.[105] Very curiously, B. infantis, which constitutes a continuum with B. longum, as we shall see below,[57,107] has no plasmid. No phenotypic characteristic has so far correlated with the presence of plasmids.[103] IX.

BIFIDOBACTERIUM ECOLOGY

Of the 24 species of Bifidobacterium so far recognized, 9 are isolated essentially from humans: B. bifidum, B. longum, B. infantis, B. breve, B. adolescentis, B. angulatum, B. catenulatum, B. pseudocatenulatum, and B. dentium. A.

Implantation in the Neonate

It is generally admitted that until the time of birth the fetus is surrounded by a completely sterile environment. After birth, the digestive tract is rapidly colonized by bacteria.[108 – 110] Forty-eight hours after birth, the colon contains 109 –1010 bacteria per gram of stools consisting mainly of enterobacteria, staphylococci, and streptococci.[109 – 111] The bifidobacteria appear only between day 2 and day 5[109] and become dominant 10 (10 –1011 per gram of stools) barely one week after birth. They reach a level of 99% of the fecal flora, whereas the levels of other bacteria (E. coli, lactobacilli, enterococci) decline sharply by about 1000-fold.[112 – 115] Anaerobes such as Bacterioides and Clostridium and other putrefying bacteria are enormously reduced and may disappear. 1.

Origin of Colonization

This rapid invasion of the sterile digestive tract at birth raises the question of the origin of the bacteria and more particularly of anaerobes such as Bifidobacterium, which survive only precariously in the atmosphere. Do the bacteria invade from the digestive tract from the mouth or from the rectum? Several studies tend to disprove the hypothesis that the digestive tract is colonized by the rectal route[116,117] and demonstrate that, on the contrary, bifidobacteria enter the body of the neonate by an oral route: Kleinschmidt[118,119] detected B. bifidum in the upper segment of the digestive tract of a child operated due to the absence of an anal perforation. Boventer[99,120] clearly showed that the implantation of Bifidobacterium in the digestive tract occurs by descending route, since the rectum remains sterile until colonization is complete.

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Hoang-Dung TRAN and friends Mutai and Tanaka[121] isolated and observed in the mouth of 23 neonates Bifidobacterium, Propionibacterium, Bacteroides, Peptostreptococcus, Fusobacterium, Enterococcus, Lactobacillus, and Enterobacteriaceae 10 minutes after birth via the genital tract, whereas following cesarian section only Propionibacterium and Enterococcus were isolated in 8 out of 9 neonates investigated.

Another weighty argument in favor of the hypothesis of colonization by the vaginal or fecal flora of the mother is the observation by many authors that invasion of the digestive tract of the neonate occurs much more rapidly after vaginal birth than after birth by cesarian section.[122] Mitsuoka, et al.[109] isolated bifidobacteria in 41% of vaginal births, whereas Bezirtzoglou[110] found them in 21% of infants aged 4 days and born by cesarian section (41% after 15 days). 2.

Factors Influencing Colonization

In addition to the method of delivery, which we have just seen directly affects the speed of invasion by bifidobacteria, several other factors also influence colonization. Prematurity. This is a cause of difficult implantation of Bifidobacterium due to the lack of receptors and/or endogenous substrates, whereas enterobacteria and Bacteroides readily to colonize the colon.[112 – 114,123,124] Method of Feeding. Tests for bifidobacteria in mother’s milk have always been negative,[110] with the exception of the findings of Mayer and Moser,[22] who isolated B. bifidum from the colostrum and milk of a woman before breast-feeding commenced. INFLUENCE OF THE TYPE OF FEEDING ON THE COMPOSITION OF THE INTESTINAL FLORA .

The effects of breast-feeding and bottle-feeding have been compared in numerous studies. At the beginning of the twentieth century, Tissier wrote that the flora of a neonate raised on the breast consisted entirely of Bifidobacterium, whereas lactobacilli were predominant in the flora bottle-fed infants. From subsequent research it has emerged that there is no difference in the qualitative distribution of species between these two types of feeding. The difference lies in the quantitative level in the proportion of Bifidobacterium and other species, with clearly higher levels of Bifidobacterium for children breastfed who show high levels of Bifidobacterium, which are generally higher than those of enterobacteria and Bacteroides within the first week of life (see Table 4 and Fig. 4).[5,111,125 – 131] The stools of a breast-fed child are also characterized by a granular appearance, slightly vinegary smell, and marked acidity (pH 48– 5.2),[132] which is probably due to the abundance of Bifidobacterium and therefore to considerable acetate production.[109,132 – 134] In contrast, the stools of children fed artificially are more similar to those of adults (pH 6.4 – 7.0)[58] which indicates the presence of putrefying organisms. Thus, in artificial feeding the fundamental difference lies in the maintenance of high levels of optional aerobic species (E. coli and streptococci) which initially colonized the digestive tract and the development of anaerobes (Bacteroides, Clostridium, Eubacteria, Peptostreptococcus, Clostridia, Enterobacteriaceae, Streptococcus).[135,136] Bifidobacterium appears fairly late and is found in lower proportions in the stools.[57] Some authors,[137,138] on the contrary, note that breast-feeding does not increase the level of Bifidobacterium in the first few days after breast-feeding, the predominant popu-

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Table 4

Comparison Between Fecal Floraa of Breast-Fed and Bottle-Fed Infants

Bacteria

Breast-fed infants

Bottle-fed infants

8.6 7.9 5.8 7.0 10.7 3.1 6.1 2.4 1.0 1.3 5.8

9.5 9.8 5.5 5.9 10.0 7.3 9.9 7.9 6.4 0.9 5.9

Enterobacteriaceae Streptococcus Staphylococcus Lactobacillus Bifidobacterium Eubacteria Bacteroidaceae Peptococcaceae Cl. perfringens Clostridium Veillonellae a

log cfu.

Figure 4

Comparison of fecal flora between breast-fed and bottle-fed infants.

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Hoang-Dung TRAN and friends lation consisting of enterobacteria and not of strictly anaerobic species. Benno et al.[131] note that in both types of feeding, Bifidobacterium constitutes the predominant genus (Fig. 5). At weaning, a sudden change occurs in the fecal flora following the first bottlefed[139] or solid food. In some children the bifidum flora falls sharply; in others, however, it remains stable. There is a remarkable proliferation of Bacteroides, Eubacterium, Peptostreptococcus, and Clostridium.[136] In all cases, the ratio of Bifidobacterium “putrefying flora” falls and is reversed. To date, no industrial dairy formula has made it possible to maintain the same equilibrium as that found during breast-feeding. INFLUENCE OF THE TYPE OF FEEDING ON BIFIDOBACTERIUM SPECIES . The proportions of the various species of Bifidobacterium also vary with the type of feeding.[129] B. bifidum appears to be the dominant species during breast-feeding.[59,127,130] In contrast, in Italy, Biavati et al.[140] did not observe any change in the distribution of the species in breast- or bottle-fed infants:

B. B. B. B.

bifidum longum infantis breve

3% 8% 12% 11%

The discrepancies between these findings are probably a result of the differing techniques used to identify the strains; the French and Japanese workers used carbohydrate fermentation, whereas the Italian authors identified species using DNA-DNA hybridization. CONSTITUENTS OF HUMAN MILK AFFECTING THE EQUILIBRIUM OF THE INFANT’S FLORA .

Humanized milks have an organoleptic composition similar to that of human milk: high concentration of lactose, some lactoferrin and lactulose, low concentrations of the proteins used by putrefaction organisms, and a low buffering potential.[141] They are still incapable of providing the conditions favorable to bifidobacteria in breast-fed infants. Human milk provides factors essential to the intestinal development of Bifidobacterium.

Figure 5

Changes of intestinal flora from birth to old age. (From Mitsuoka, 1984.)

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Hoang-Dung TRAN and friends In 1930, Polonowski and Lespagnol[142] isolated oligosaccharides other than lactose from human milk, which they named gynolactose and allolactose [b-D -galactopyranosyl(1,6)-D -glucopyranose]. Levesque et al.[143] administered relatively large quantities of N-acetylglucosamine to infants with low levels of B. bifidum in the flora. They then observed the appearance of this species in the stools and its disappearance if the administration was stopped. In children fed milk containing added porcine mucin, the pH of the stools fell and the bifidum population rose.[144] Numerous substrates therefore appear to be involved in maintaining the equilibrium of the infant’s intestinal flora. To date, no active molecule has been identified.

Endogenous Substrates. Endogenous substrates exist within the digestive tract without a dietary source. They are produced by the host and may be used by bacteria. Some strictly anaerobic bacteria produce enzymes able to degrade blood group antigens and mucin oligosaccharides. These bacteria include species of the genus Bifidobacterium: B. bifidum and B. infantis.[145,146] They are able to remove the N-acetyl-D -galactosamine residues from the blood group A factors and also secrete a-L -fucosidases, sialidases, and b-glycosidases.[147] Environment. The country, hospital, and even the unit within which the delivery takes place influence the rapidity of colonization by Bifidobacterium. The species present and the biotypes found also vary with time. Mitsuoka et al.[109] isolated mainly B. infantis from the stools of Japanese infants, but 10 years later B. breve was recognized as the dominant species. Numerous observations suggest that the environment and, in particular, obstetric and therapeutic customs (increasingly frequent use of antibiotics) play a role in the colonization of neonates by bifidobacteria. It would even appear that very strict conditions of hygiene delay the implantation of Bifidobacterium.[138,148,149]

B.

Change from Weaning to Adulthood

1.

Influence of Age

Many authors observe that the number of bifidobacteria falls significantly in adult stools and particularly in those of the elderly, whereas the numbers of Bacteroides, Eubacterium, Peptostreptococcus, Clostridium, Enterobacteriaceae, Streptococcus, and Lactobacillus increase.[114,150 – 153] This change is usually due to a reduction in the gastric secretion in this age group. The fall-off in Bifidobacterium is accelerated in the elderly, where there is an increase in Clostridium and optional aero-anaerobic species. Figure 5 shows the change in the intestinal flora throughout life. The proportions of the various Bifidobacterium species also vary with age, and each age group has its characteristic species (see Table 5). Thus, in children under 7 months of age, Mitsuoka et al.[109] and Biavati [154] isolated B. infantis, B. breve, B. longum biovar. b, and B. bifidum var. b. These species, with the exception of B. longum biovar. b, are not present in young children and disappear in the flora of older children and adults. B. infantis appears to be specific to neonatal infants[35] and to show a higher incidence in the stools of breast-fed infants. In children and adults, B. longum biovar. a, B. adolescentis, and species with similar fermentation characteristics (B. catenulatum, B. pseudocatenulatum) are well

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Table 5

Distribution of Bifidobacterium Species in Human Colon

Population Breast-fed infants

Bottle-fed infants Children

Adults Older adults

Predominating species B. longum B. infantis B. breve B. adolescentis B. infantis B. breve B. bifidum biovar. b B. longum B. adolescentis biovars. a and b B. longum B. adolescentis biovars. b B. longum

Minor species

B. bifidum biovar. b

B. bifidum biovar. a

represented. In contrast, B. infantis and B. breve are not present in this age group,[35,109,140] B. adolescentis is the species characteristic of adult flora, and the proportion of B. adolescentis type b increases considerably in the elderly.[109,153] 2.

Influence of Diet

The high degree of variability of the intestinal flora in infants depending on diet contrasts with the apparent stability of the flora in adults despite differences in diet. It would seem that foodstuffs have little impact on the constitution of the dominant intestinal flora.[123,154] However, Mitsuoka[153] noted a reduction in the level of Bifidobacterium after the administration of a western diet to individuals used to Japanese food. 3.

Pathogenicity

B. dentium (formerly Actinomyces eriksonii) is isolated from dental caries or abscesses, and this species may be confused with four other species, notably B. adolescentis (see Section XIII and Table 13).

X.

IDENTIFICATION BY PHENOTYPE INVESTIGATION

When the bifidobacteria were discovered by Tissier at the beginning of the twentieth century, taxonomy was based entirely on morphological observations. This lack of differentiation criteria explains the numerous debates which preceded the creation of the genus Bifidobacterium. Taxonomy subsequently was based on increasingly numerous phenotype characteristics and today can make use of progress in genotyping.

A.

Identification of the Genus Bifidobacterium

Until the 1960s, the only identification criteria were phenotype characteristics.

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1.

Morphology

Since a branched appearance is seen in other bacterial genera (Arthrobacter, Propionibacterium, Corynebacterium, Actinomyces), it cannot be considered a specific characteristic but only an indicative criterion.[32] 2.

Culture Conditions

Bifidobacteria develop under anaerobic conditions at 378C in species of human origin or 428C and higher for species of animal origin and require an incubation time of 48 hours.[21] 3.

Metabolites

The determination by gas chromatography of organic acids produced at the end of fermentation and notably an acetic acid/lactic acid ratio of about 3/2 provides excellent identification criteria for the genus Bifidobacterium. In addition, it is important to note that bifidobacteria produce the L þ isomer of lactic acid. 4.

Enzyme Tests

The association of a branched shape with the presence of fructose-6-phosphate phosphoketolase (F6PPK) in a strain indicates that it belongs to the genus Bifidobacterium. The detection of F6PPK can be completed by a test for a-galactosidase. The API ZYM system indicates a-galactosidase activity in bifidobacteria[155] but not in lactobacilli.[156] This test can therefore be used as an identification indicator.[42] 5.

Study of Electrophoretic Patterns

All soluble cell protein electrophoretic patterns show a band that migrates over the same distance, with the exception of B. boum, for which this band is located at a slightly greater distance from the anode.[157] The presence of this band therefore appears to provide an appreciable criterion for the identification of the genus. 6.

Lipids and Constituents of the Cell Wall Membrane

Bifidobacteria have the following fatty acids: C14:0 (myristic acid), C16:0 (palmitic acid), C16:1 (palmitoleic acid), C18:0 (stearic acid), and C18:1 (oleic acid). In addition, though the genera Bifidobacterium and Lactobacillus both contain diphosphatidylglycerol and phosphatidylglycerol, only Bifidobacterium possesses polyglycerolphospholipids and their lyso derivatives, alanylphosphatidylglycerol, and the lyso derivatives of diphosphatidylglycerol.[158] Analysis of the cell composition in terms of lipids and phospholipids therefore provides a good criterion for distinguishing between the genus Bifidobacterium and the Lactobacillaceae. It should be noted that the growth temperature and the composition of the culture medium have a marked influence on the distribution of lipids and phospholipids, although the peptoglycan structure of Bifidobacterium is closer to that of the Lactobacillaceae than the Actinomycetaceae.[159,102] 7.

Other Identification Criteria

Other tests can be used to identify the genus Bifidobacterium, notably:[15,160,161] Rapid and complete coagulation of milk without the formation of gas Fermentation of glucose, lactose, levulose, fructose, and galactose, accompanied by marked acidification No acid production from rhamnose, sorbose, adonitol, dulcitol, erythritol, or glycerol

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The development of these microorganisms in peptone water Negative catalase No reduction of nitrates No indole formation No liquefaction of gelatin No fermentation of glycerol No attack of coagulated proteins B.

Species Identification

It is obvious from the multiple taxonomic revisions that have taken place in a few decades how difficult species identification is within the genus Bifidobacterium. 1.

Sugar Fermentation

This criterion has been used most frequently to identify and define new species. Until 1957, most researchers classed all bifidobacteria together as a single species: Bifidobacterium difidum. In 1957, Dehnert[162] was the first to demonstrate the presence of several Bifidobacterium biotypes and used 24 sugar fermentation processes to classify the various species into five groups. A few years later, Reuter[163,164] associated serological properties to sugar fermentation to identify new human-derived species isolated from the stools of adults and children and their various biotypes. Using fermentation profiles and the ability to grow at 46.58C enabled Mitsuoka[165] to separate human strains from animal strains (pig, chicken, calf, sheep, rat, mouse, guinea pig, bee). He proposed two new species, B. thermophilum var. a, b, c, and d, B. pseusolongum var. a, b, c, and d, and a new variant, B. longum subsp. animalis a and b. B. ruminale (synonym of B. thermophilum) and B. globosum and then B. asteroides, B. indicum, and B. coryneforme were isolated in the same year.[166,167] The ability of a strain to ferment certain sugars is the test first used to identify species. Numerous sugars have been tested, and the results obtained have been compared with the identification tables produced by Mitsuoka[5,153] and Scardovi[20] (Table 6). This method presents no major operating problems but does have several drawbacks: it is lengthy and tedious because a panel of 30 sugars must be studied for 10 days. In addition, the interpretation of the results using identification tables remains controversial and can at best give an indication of an identification based on the fundamental characteristics not open to doubt, for example: B. longum ferments melezitose, whereas B. animalis is unable to ferment this sugar. B. pseudolongum ferments pentoses and starch, whereas B. thermophilum does not ferment pentoses but does ferment starch. B. breve ferments ribose, mannitol, esculine, and amygdaline but does not ferment arabinose or xylose. B. infantis does not ferment arabinose, whereas B. longum ferments arabinose and melezitose. Roy et al.[155] developed a rapid method for identifying bifidobacteria species based on the fermentation of seven sugars: arabinose, cellobiose, lactose, mannose, melezitose, ribose, and salicin. A mixture of these seven sugars is monitored by gas chromatography and should make it possible to identify six to eight typical strains of Bifidobacterium in less than 24 hours.

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þ ¼ positive; 2 ¼ negative; v ¼ variable.

þ þ þ þ þ þ þ þ þ þ þ 2 2 þ þ 2 þ þ v þ þ þ þ þ

þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ 2 þ þ þ 2 þ v v

v þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ

2 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ v v

2 2 2 v v 2 v v þ 2 2 2 2 v v 2

v þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ 2 þ þ þ þ

2 2 2 v v 2 v 2 þ 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

þ 2 2 v 2 2 2

Salicin

2 þ 2 þ þ þ þ 2 2 þ þ 2

2 v v þ v þ 2 þ þ 2 þ 2 2 v 2 2 2 þ v 2 2 2 2 v

Inulin

2 v v 2 þ þ þ þ þ v þ

Mannitol

2 2 2 2 þ 2 v v þ 2 2 2 2 2 2 2 2 2 2 2 þ þ v þ

Melibiose

2 2 2 2 þ þ 2 þ þ þ þ þ þ þ þ þ 2 2 2 þ þ 2 2 2

Trehalose

Gluconate

2 2 2 v v v þ v 2 2 2 2 2 2 2 2 2 2 2 2 þ 2 2 2

Maltose

Starch

2 þ þ þ þ þ þ þ þ þ þ 2 þ þ þ þ þ þ þ 2 þ þ þ þ

Sucrose

Sorbitol

2 þ 2 v þ 2 2 2 þ 2 v 2 2 v v 2 2 2 2 2 þ 2 2 2

Galactose

Raffinose

2 2 2 v þ 2 þ v þ 2 v 2 2 v v 2 2 2 2 2 2 þ þ þ

Fructose

Melezitose

þ þ þ þ þ þ þ þ þ þ v 2 þ þ v v þ 2 þ 2 2 2 2 2

Mannose

Cellobiose

2 þ 2 2 þ þ þ þ þ v þ þ 2 þ 2 2 þ þ þ 2 2 þ þ 2

Xylose

Lactate

2 þ þ þ þ þ þ þ þ þ þ 2 2 þ 2 2 þ þ 2 2 þ þ þ þ

2 2 v v v þ v 2 2 2 2 2 2 2 v þ 2 þ 2 2 v

2 2 2 þ þ þ þ þ þ 2 2 2 2 þ v 2 2 þ 2 2 v þ þ þ

2 2

Ballongue

B. bifidum B. longum B. infantis B. breve B. adolescentis B. angulatum B. catenulatum B. pseudocatenulatum B. dentium B. globosum B. pseudolongum B. cuniculi B. choerinum B. animalis B. thermophilum B. boum B. magnum B. pullorum B. suis B. minimum B. subtile B. coryneforme B. asteroides B. indicum

L-Arabinose

Sugar Fermentation by Bifidobacterium sp. D-Ribose

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Table 6

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2.

Study of F6PPK Isoenzymes

A test using a colorimetric reaction following starch gel electrophoresis for three isoenzymes of F6PPK can give an indication of species identity.[35] These isoenzymes catalyze the same reaction but are distinguished by differing electrophoretic patterns. The migration distances are linked to the ecological origin of the species: human (15 cm), mammalian (10 cm), or bee[20] (Table 7). In addition, purified preparations of F6PPK from B. globosum (mammalian origin) and B. dentium (human origin) demonstrate activities which vary with regard to optimum pH, the identity of the metal inducing maximum activity, heat inactivation, molecular weight, and affinity toward the substrate.[104] 3.

Study of Protein Profiles

A bacterial strain cultured under standard conditions always gives the same protein profiles. The sequence of amino acids, the molecular weight, and the net electrical charge of each protein are determined by the sequence of nucleotides in the DNA. The protein profile of each strain is therefore a fingerprint of the genome. The cell proteins are dissolved using detergents such as SDS, but many studies have been carried out using only the soluble fraction of disintegrated cells.[16] Two types of study can be envisaged for the comparison of Bifidobacterium species with each other. Electrophoresis in a starch gel (zymogram) of the 14 enzymes of transaldolase and the 19 isoenzyme of 6-phosphogluconate dehydrogenase (6PGD) can be used to compare the electrophoretic mobility of these enzymes in the original strain (Table 8). A colorimetric method applied to 3-phosphoglyceraldehyde dehydrogenase is able to identify other strains.[168] The electrophoretic migration distances for F6PPK appear to be linked to the ecological origin of the species, but the same is not true for the other glucose metabolism enzymes of Bifidobacterium—transaldolase, transketolase, 6-phosphogluconate dehydrogenase, and aldolase.[169] Electrophoresis in a polyacrylamide gel of the lysate of a strain provides electrophoretic profiles of the soluble cell proteins. The distribution of the protein bands is

Table 7

Migration of F6PPK in Bifidobacterium sp.

Species B. bifidum B. longum B. infantis B. breve B. adolescentis B. angulatum B. catenulatum B. pseudocatenulatum B. dentium B. globosum B. pseudolongum B. cuniculi

Migration (cm)

Species

Migration (cm)

15 15 15 15 15 15 15 n.d. 15 10 10 n.d.

B. choerinum B. animalis B. thermophilum B. boum B. magnum B. pullorum B. suis B. minimum B. subtile B. coryneforme B. asteroides B. indicum

n.d. 10 10 n.d. 10 10 10 10 10 – 15 16 16 16

Note: n.d., not determined. Source: Scardovi, 1986.

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Table 8

Migration of Transaldolase and 6PGD in Bifidobacterium sp. Electrophoretic pattern

Species

Transaldolase

6PGD

B. bifidum B. longum B. infantis B. breve B. adolescentis B. angulantum B. catenulatum B. pseudocatenulatum B. dentium B. globosum B. pseudolongum B. cuniculi B. choerinum B. animalis B. thermophilum B. boum B. magnum B. pullorum B. suis B. minimum B. subtile B. coryneforme B. asteroides B. indicum

7 (5)-6-8a 5-(6)-(8a) 6 8 5 5 4a-(5) 4 2 2 1 3 5 (7)-8a 6 5 2 6 10 3 6 (6)-(7)-8-(9) (6)-7-8-9a

7-(8) 5-(6a) (3)-4a-(5) (5)-6-7 5 5 6a-8 1a-3 (2) (3)-(4)-(5)-6-(7) 7 4 4 8-9a 7-8-9a 8a-9 7 Absent 5-8 6 2 6 (9)-10a-(11)-(12)-(13) 6-(7)-8-(9a)

a

Number of isoenzymes for type strains. ( )Number of isoenzymes in less than 10% of strains. Source: Scardovi, 1986.

then compared with those for a reference strain.[35,157,170] This method is doubtless the most discriminating and is both reliable and sensitive, since it is able to distinguish between strains with DNA-DNA homology levels of up to 80%,[157] but it is an onerous method, requiring reference strains, and is difficult to interpret. Use of these two types of electrophoresis has given the following results: 1.

2.

3.

The homology between B. dentium (the only species thought to be pathogenic) and B. eriksonii (formerly Actinomyces eriksonii) was established by comparing their electrophoretic patterns (zymograms).[169] This identity complies with high DNA-DNA homology (80 –100%). Electrophoresis in polyacrylamide gel enabled Biavati et al.[157] to recognize four new species: B. minimum, B. subtile, B. cornyeforme, and B. globosum, which is now distinguished from B. pseudolongum. B. adolescentis and B. dentium, which have identical phenotype profiles, can also be differentiated by their zymograms (starch gel electrophoresis), which differ.[169] Polyacrylamide gel electrophoresis also confirms these findings.[157]

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Bifidobacteria and Probiotic Action

4.

93

Hoang-Dung TRAN and friends The comparison of zymograms and protein electrophoretic patterns in polyacrylamide gel of B. infantis and B. longum is interesting. These two species have the same isoenzymes of transaldolases, that is, three different isoenzymes, which migrate to a distance of 5, 6, or 8 units. The only difference is the incidence within the strain: the isoenzyme migrating to a distance of 5 occurs more frequently in B. infantis, and that which goes furthest, to 8, is found most frequently in B. longum.[169] The bands obtained on the electrophoretic diagrams of these two species show an identical distribution. Only the concentrations of the proteins differ.[35,157]

We are therefore faced by a very unusual phenomenon: these strains, although they belong to different species, present similar profiles, thus defining a “continuum.” Table 8 shows that the transaldolases and 6PGD of B. adolescentis with electrophoretic mobilities of 8 and 5, respectively, are found in 50% of B. longum and in many strains of B. infantis, highlighting what is doubtless a very close degree of relatedness between these species. In contrast, the electrophoresis patterns of the cell proteins for these three strains differ, confirming that they are indeed three separate species.[36,157,171] The zymogram of B. bifidum is in contrast highly specific. This species is the only one to show a transaldolase and F6PPK migration distance of 7 units. Only a few strains of B. thermophilum of bovine origin are similar. In this case, the differentiation is based on the mobility of the 3-phosphoglyceraldehyde dehydrogenase. Study of the protein patterns provides valuable information about a given strain, and the numerical analysis of the patterns of a large number of strains makes it possible to achieve: Rapid grouping of the strains. Archiving of a large number of models in a reference data bank. The attribution of unknown bacteria to their group and their possible identification. A quick method of determining whether two colony types in a culture are due to variation or contamination. Determining the homogeneity or heterogeneity of the taxa. When the preparation conditions for the extracts and their electrophoresis are standardized, a high degree of reproducibility (in excess of 96%) can be obtained.[172]

4.

Transaldolase Serology

An immunological approach investigating the serology of the transaldolases can also be used to differentiate between species within the genus Bifidobacterium. Figure 6 shows the results of the studies performed.[107,173,174] This method consists of preparing immunosera against the highly purified transaldolases of eight species of Bifidobacterium, B. infantis, B. angulatum, B. globosum, B. thermophilum, B. suis, B. cuniculi, B. minimum, and B. asteroides and testing them against 21 bacterial species of the genus in order to determine their immunological distances. These results, expressed as taxonomic distance, are shown in the dendogram (Fig. 6). This diagram illustrates the interrelationships existing within the genus and shows that the seven groups defined by Sgorbati and London[107] (A, B, C, D, E, F, and G) detected by this model can be split into four distinct groups closely linked at the ecological origin of the species. These four antigenic groups (I, II, III, and IV) coincide with the arrangement

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Figure 6

Immunological relationships among transaldolases in Bifidobacterium. (See text for

details.)

of the species of Bifidobacterium based on electrophoretic mobility[36,174,175] and are also confirmed by DNA-DNA hybridization studies. In addition, this dendogram is able to distinguish two subgroups, A and B, among the strains of human origin (I): (1) B. angulatum, B. catenulatum, B. pseudocatenulatum, and B. dentium; and (2) B. adolescentis, B. breve, B. longum, B. infantis, and B. bifidum.[174] The species associated with mammalian animal habitats (II) belong to groups C, D, E, and G. The two species found only in the bee (group H) are antigenetically very distant from the other members of the genus (III). The most widely separated species (IV) (group F) were isolated from waste water. 5.

Enzymes

B. breve is one of the few species to produce b-glucuronidase activity.[41] It is suspected that this enzyme may convert procarcinogens into carcinogens.[176] In addition, B. longum is the only species to have neither b-glucosidase nor N-acetylglucosaminidase activity. 6.

Composition of the Wall

The sugar composition of the wall varies with strain, particularly with regard to the percentage of rhamnose and glucose[15] (Table 9). The sequence of amino acids in the peptidoglycan may vary from one species to another, making it possible to separate species from which are relatively close to each other, such as B. boum from B. thermophilum or B. minimum from B. subtile.[102] In addition, Bezirtzoglou[110] noted that only the species B. bifidum has a poly-(1,2)-glycerophosphate skeleton in the lipoteichoic acids, which is substituted in the end position by a polysaccharide.

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Table 9

Cell Wall Composition of Bifidobacterium sp.

Species B. B. B. B. B. B. B.

Origin

bifidum infantis breve liberorum parvulorum asteroides suis

Adult stool Infant stool Infant stool Infant stool Infant stool Bee Pig

B. longum

Adult stool

B. B. B. B.

Pig Adult stool Bee Pig

thermophilum adolescentis indicum pseudolongum

Kind of peptidoglycan cross linkage Orn-Ser-Asp-Ala Lys-Gly Lys-Gly Lys-Gly Lys-Gly Lys-Gly Orn or (Lys)-Ser-AlaThr-Ala Orn or (Lys)-Ser-AlaThr-Ala Orn-(Lys)-Glu Lys or (Orn)-Asp Lys-Asp Orn or (Lys)-Ala

Polysaccharide Glucose Galactose

Rhamnose

þ þ þ þ þ þ þ

þ þ þ þ þ þ þ

þ þ þ þ þ 2 (þ)

þ

þ

þ

þ þ 2 þ

þ þ þ þ

þ 2 þ þ

Op Den Camp et al.[177] prepared antibodies to the lipoteichoic acids of B. bifidum by coupling with an immunogenic protein. They were specific towards the polyglycerol phosphate core (essentially poly 1,2) and to a small extent to the polysaccharide portion. Crossed reaction tests with phenolic extracts of lipoteichoic acids of Bifidobacterium and Lactobacillus have shown that only the former react, making it possible to envisage a serogroup with lipoteichoic acids as group antigens. 7.

Processing of the Results

All these identification criteria give responses that must be classified and interpreted. Most of the problems involved in processing data tables resulting from the examination of the physiological and biochemical properties of the bacteria are solved by the use of computer-assisted numerical taxonomy. The usefulness of numerical taxonomy depends on several factors:[167] 1. 2. 3. 4. 5. 6.

Strain selection Number of characteristics examined (greater than 50) Rigorous standardization of the methods of analysis Weight attributed to each characteristic in the evaluation Classification of the reactions as positive, negative, or noncomparable Type of computer software used

XI.

IDENTIFICATION BY STUDY OF THE GENOME

A.

Identification of the Genus Bifidobacterium

The DNA base composition of the chromosome of Bifidobacterium differs from that of Lactobacillus [17] and other lactic bacteria.

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Genus Lactobacillus Streptococcus Leuconostoc Bifidobacterium

GC% 34.7– 50.8 33– 44 39– 42 57.2– 64.5

However, two organisms with similar G þ C (GC%) analysis are not necessarily closely related. The GC% cannot therefore be considered as an exclusion characteristic in bacterial taxonomy. B.

Species Identification

1.

DNA Base Composition

B. longum is distinguished from B. animalis and B. pseudolongum by its GC%. The GC% of B. longum is 58, whereas that of B. animalis and B. pseudolongum is 60. 2.

DNA-DNA Hybridization

DNA-DNA homology is a mean measurement of similarity in which the entire genome of one organism is compared with that of another. A fragment of denatured DNA from a reference strain is labeled and then used as a probe to hybridize with a single strand of DNA from the strain to be identified. The more DNA base pairing there is between two strains, the closer they are genetically. The use of DNA-DNA hybridization methods has advanced the taxonomy of the bifidobacteria.[175,178] On the basis of the DNA-DNA homology percentages, 11 different species can be described: B. indicum, B. coryneform, B. asteroides, B. ruminale, B. globosum, B. suis, B. pullorum, B. magnum, B. catenulatum, B. dentium, and B. angulatum.[167,179 – 182] The fact that B. bifidum and B. longum belonged to two different species has been confirmed, but the following species have been combined to form a single species: B. B. B. B.

lactentis, B. liberorum, and B. infantis under the name of B. infantis ruminale and B. thermophilum breve and B. parvulorum under the name of B. breve pseudolongum and B. globosum [175]

In the following year and using the same methods, Holdeman and Moore[183] divided B. infantis into three subspecies and B. adolescentis into four groups. In addition, they described two new species: B. cornutum and B. eriksonii. In 1974, Scardovi and Trovatelli[184] detected genetic differences between B. longum subsp. longum and B. longum subsp. animalis and proposed raising these subspecies to rank of species: B. animalis, B. longum, and B. animalis. A few years later, some new species were described by Scardovi[21]—B. pseudocatenulatum, B. cuniculi, B. choerinum, and B. boum—and then, in 1982, by Biavati et al.[157]—B. minimum and B. subtile. The results of DNA-DNA hybridizations between the various species of Bifidobacterium are shown in Table 10. From this table it can be seen that two continua can be defined from the human-defined strains B. infantis and B. longum (50 –76%

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Hoang-Dung TRAN and friends

Value between 40% and 60%.







86





























88

























/




90 67

65 97










90






















































































































































































0




















































0







0

/













0













0 0

/




98
















/




98




























86










0











































0







/ 82







98 /
















90































































































0 0




/






































































0













0 0 0 0

75 100


























































100 67 / /




/ /

0 0 0 0







0 0




0

B: indicum







B: asteroides







B: pullorum




0

B: magnum







B: boum







B: suis

B: thermophilum

B: pseudolongum










B: subtile








B: minimum





0 0 0 0

B: animalis




100

0 0

B: choerinum





B: globosum




B: dentium

B: pseudocatenulatum

B: angulatum

B: adolescentis

B: breve

B: infantis










63 88 /

B: cuniculi










88 65 /




0







102










100







0 0










102







0

0










85 0










/




100




0




100

0




0 0 10

0





0

0 0

97




100 / /

B: catenulatum

B. bifidum B. longum B. infantis B. breve B. adolescentis B. angulantum B. catenulatum B. pseudocatenulatum B. dentium B. globosum B. pseudolongum B. cuniculi B. choerinum B. animalis B. thermophilum B. boum B. magnum B. pullorum B. suis B. minimum B. subtile B. coryneforme B. asteroides B. indicum

B: longum

B: bifidum

DNA-DNA Homology in the Genus Bifidobacterium

Bifidobacteria and Probiotic Action

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Table 10

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Hoang-Dung TRAN and friends homology), which had already been detected by the zymogram, electrophoresis of soluble proteins, and growth factor requirements[57] and suspected by Scardovi et al.[175] The other continuum is that of B. catenulatum and B. pseudocatenulatum (60 – 80% homology).[174] These genotypic findings nonetheless raise some questions:

1.

The electrophoretic mobility of the transaldolases and 6PGD had suggested proximity of B. adolescentis, B. longum, and B. infantis. However, although the DNA-DNA hybridizations between these strains confirm the relationship between B. longum and B. infantis, B. adolescentis, on the contrary, appears to be genetically very distant from B. longum (0% hybridization). 2. The serology of the transaldolases makes it possible to separate the strains of human origin into two subgroups, and B. adolescentis appears to belong to the subgroup as B. breve, B. longum, B. infantis, and B. bifidum (and not to the subgroup containing B. angulatum, B. catenulatum, B. pseudocatenulatum, and B. dentium). The hybridizations challenge this finding since, genetically, B. adolescentis appears to be distant from these four species (less than 20% homology) but close to the species in the other subgroup, in particular to B. dentium (some strains showing up to 49 –57% homology). In contrast, the results obtained by electrophoresis of soluble proteins and the zymograms appear to distance B. adolescentis and B. dentium. 3.

Plasmid Tests

The number of plasmids detected in a strain of Bifidobacterium may suggest the identification of certain species because only some possess plasmids.[104,105] This technique is particularly useful for the separation of B. longum and B. infantis. 4.

New Methods

Today, hope is based on the use of new methods, which should lead to further changes. The whole bacterial DNA can be processed using restriction enzymes.[185] But even if the genome is relatively small, there are too many restriction fragments for the electrophoretic pattern to be easily read. This method can demonstrate that two strains are different, but can in no case be used to confirm the similarity of two bacteria.[186] The successive use of several restriction enzymes should make it possible to pinpoint identification. Grimont and Grimont[187] suggest that the parameters used to describe species and strains should include the size of the DNAr restriction fragments following agar medium electrophoresis. The DNA fragments carrying genes (DNAr) coding for ribosomal RNA are then localized on filters by hybridizing with either a DNAr 16 þ 23S from Escherichia coli or with a DNA probe that codes for the well-conserved portions of ribosomal RNA 5S or 16S. Many more studies are required before a new level of identification can be defined that could be achieved by sequencing the RNAr 5S and 16S, which are very well-conserved molecules throughout the animal kingdom. Comparison of these sequences with those of reference strains should give information extremely useful for identification.[187] DNA-DNAr hybridization remains to be tested regarding its value in improving the classification of bifidobacteria. Pulsed field electrophoresis requires large fragments of DNA. Studies have been carried out in order to identify restriction enzymes able to cut DNA at infrequent restriction sites.

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C.

Conclusion

The identification of species within the genus Bifidobacterium is difficult. The kits and commercial tests that provide phenotype identification information are not appropriate for these bacteria, and their use does not provide a sufficiently reliable answer. Even with 100 phenotype characters, the identification is not definite. Genotyping today provides a more accurate and reliable approach to bacterial taxonomy. DNA-DNA hybridization is widely used and is a particularly appropriate method since it makes it possible to study the entire bacterial genome, including those parts that do not code for proteins. The new genome methods now under investigation hold the promise of a more accurate and quicker identification method. Table 11 shows the accuracy and precision of identification obtained using genotyping. Several species that cannot be differentiated by phenotyping can be distinguished by their genetic characteristics. DNA-DNA hybridization methods take into account the entire genome, whereas phenotype analysis involves only the segments of the genome in which the phenotype expression can be measured[188]—about 10%.

Table 11

Relationship Between DNA-DNA Homology and Phenotypy

Genotype B. minimum B. bifidum B. thermophilum B. boum B. choerinum B. subtile B. pseudolongum B. globosum B. animalis B. magnum B. suis B. pullorum B. cuniculi B. longum B. infantis B. breve B. adolescentis B. dentium B. catenulatum B. pseudocatenulatum B. angulatum B. asteroides B. coryneforme B. indicum B. gallinarum

Phenotype B. minimum B. bifidum a and b B. thermophilum

B. pseudolongum

B. animalis

B. cuniculi B. longum a and b B. infantis ss. infantis a and b B. infantis ss. liberorum B. infantis ss. lactentis B. breve ss. breve a and b B. breve ss. parvulorum a and b

B. adolescentis a, b, c, and d

B. asteroides B. indicum B. gallinarum

Note: DNA-DNA homology higher than 50%.

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XII.

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Hoang-Dung TRAN and friends RELATIONSHIP BETWEEN INTESTINAL FLORA AND INTESTINAL CELLS: ADHESION AND COLONIZATION METHODS

The study of the mechanisms of adhesion has been facilitated by the development of investigation methods and can be carried out today in vivo by taking a human or animal colon biopsy sample, which is then examined under electron microscopy or in vivo by the culture of intestinal cells or tissues under survival conditions and exposed to bacteria before being examined under the electron microscope. A.

Colonization Conditions

To obtain a probiotic or pathogenic effect depending on the invasive bacterial species concerned, the bacteria must adhere to the cell surfaces of the digestive tract. Two conditions must be present to allow the implantation of a bacterium: 1. 2.

B.

It must be able to multiply, depending on the presence of a substrate and a redox potential appropriate for its growth requirements. It must be able to reside in situ, i.e., adhere to the cells or mucus and avoid expulsion.[189]

Mechanism of Adhesion

There are numerous conflicting hypotheses concerning the possible implantation of ingested microorganisms. These bacteria may either simply pass through or colonize the intestine by adhering to the cell wall, in which case they belong to the subdominant flora. In most cases, there is a uniform interstice between the bacterium and the host cell measuring less than 40 nm, which is filled with fibrillar material.[190] The bacterium may be completely encircled by the membrane of the apical pole of the cell or only partially surrounded, and in some cases the association takes place without penetration. This adhesiveness depends on three factors: adhesins, adhesin receptors, and mucus. 1.

The Adhesins

These structures, which are implied in the attachment process and are present in some bacteria, may be of two types. Protein Type. These are either external membrane proteins or individualized structures such as the pili or fimbriae of gram-negative bacteria.[191] The pili may be bound to the glycoproteins and glycolipids of the cell membrane of many vertebrate species.[189,190] These non-protein structures may also be fibrillar structures other than fimbriae. They have been described in the superficial adhesion process of enteropathogenic E. coli.[192] Elements known as “fimbriosomes” have also been detected in hyperadhesive mutant strains. Fimbriosomes are rounded structures closely associated with the fimbriae.[193] It has not yet been demonstrated whether these structures potentiate the effects of the fimbriae or whether they act separately. Nonprotein Type. These are the polysaccharides of the capsule or slime. The polysaccharide fraction of B. infantis is involved in the adhesion of this bacterium to

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Hoang-Dung TRAN and friends the epithelial cells of the ileum or the lipotechoic acids (LTAs) of gram-positive bacteria.[194,195] Many studies have demonstrated that the LTA of gram-positive bacteria have a high binding affinity to the membranes of the epithelial cells of mammals.[196 – 199] Binding occurs spontaneously through the intermediary of the lipid fraction of the LTAs.[199] The binding of the LIAs of the bifidobacteria to human epithelial cells in culture is dependent on cell concentration and time and appears to be reversible. LTA is bound through the fatty acids, which are themselves bound to the esters.[177] An important phenomenon that should be highlighted is “phase variation,” which allows a bacterium to modify its surface and thus its adhesive potential, depending on its phase. This phenomenon is familiar in E. coli both in vitro and in vivo.[190]

2.

Adhesin Receptors

The most probable receptor on the membrane of the intestinal epithelial cells is a protein or glycoprotein with fatty acid –binding sites.[177] However, the adhesion of E. coli to uroepithelial cells and isolated human colon cells appears to involve the intermediary of glycolipids (glycolipids account for about 20% of the membrane lipids of the enterocyte) containing Gala 1 –4 Galb residues, as well as through the intermediary of receptors which are sensitive to mannose and which could consist of one or several glycoproteins.[200] It appears that the Gal a 1 –4 Gal b receptors are indeed irregularly distributed among intestinal cells.[201] The surface receptors trap the bacteria in mucus secretions. The membrane receptivity of the host cells is strongly influenced by cell maturity,[202] the age of the host[193,203] and the portion of the digestive tract involved. This results from differences of structure and composition of the enterocytes of the host, which are mature in adults and immature in young subjects.[204] The differences found in the composition of the intestinal flora in infants, children, and adults may be related to this change of receptors in function of age. The type and quantity of specific glycolipid receptors is also determined genetically.[205] 3.

Mucus

Mucus covers the entire mucosa of the digestive tract from the stomach to the colon, and it consists of a sort of protective elastic and viscous gel consisting of glycoproteins. Its most obvious function is to provide specific protection against bacterial penetration, but its presence is also essential in the mechanisms of bacterial adhesion. Using electron microscopy, Croucher et al.[206] have confirmed the close association of bacteria with the mucus layer. C.

Analysis of the Adherent Flora

Compared to the diversity of the intraluminal flora, the flora adhering to the epithelium is generally limited to a few species of bacteria. The bacterial concentrations are generally lower by one or two log factors than the intraluminal populations. If biopsies are taken from various points of the duodenum and jejunum, the bacterial population appears to be equally distributed along a given segment of the gastrointestinal tract.[207] Despite the marked predominance of anaerobic bacteria in the lower portion of the gastrointestinal tract, their relationship with the epithelium of the colon or rectum has not been studied. Only the adhesive capacities of the optional anaerobes (such as enterobacteria) have

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Hoang-Dung TRAN and friends been studied, and few studies have been devoted to this topic. The adhesion of E. coli and other enterobacteria has been demonstrated by electronmicroscopy of biopsies.[208,209] The density of bacteria ranges from 106 to 107 cfu/g of fresh tissue. Examination of colonic biopsies allowed Hartley et al.[208] to demonstrate that the same strain of E. coli is closely associated with the intestinal wall throughout the length of the colon.

D.

Adhesion of the Bifidobacteria

Sato et al.[194] have demonstrated the role played by the polysaccharides in the adhesion of the bifidobacteria by inhibiting this phenomenon using antibodies targeted against polysaccharides. Gram staining is negative in cell-bound Bifidobacterium. This phenomenon reflects an increase in the membrane permeability of these bacteria. The bonds that permit this adhesion are probably strong. The characteristics of the epithelial cell of the human colon/lipoteichoic acids of Bifidobacterium complex have been investigated by determining the radioactivity of carbon-14 – labeled LTAs after interaction with suspended colonocytes. The most probable receptor on the colonocyte membrane is a protein or glycoprotein with fatty acid– binding sites.[210] The adhesion of Bifidobacterium and more particularly the hydrophobic interactions are promoted by a high level of fatty acids in the LTAs, resu1ting in a high level of hydrophobicity of the bacterium. The strong electrostatic charge of the polysaccharides of gram-positive bacteria also favors adhesion.[189] E.

Modifications of Adhesion

Several studies have shown that some bacterial species may modify the receptor sites of epithelial cells, resulting in an inhibition of the adhesion of the microorganisms which use them. Thus, extracellular enzymes of Bifidobacterium may degrade specific sites of pathogenic organisms or their toxins.[189,190,211] These enzymes, some of which are glycosidases, may degrade the receptors within the cell or mucus and also eliminate any bacteria bound to them.[202]

XIII.

THE INTESTINAL FLORA

Knowledge of the intestinal flora has developed simultaneously with the methods of investigation with regard to both sampling technique and analysis of the flora. A.

Methods of Evaluation

Conventional stool collection allows only investigation of the terminal flora of the digestive tract. The dominant flora consists of highly anaerobic microorganisms, which are therefore difficult to isolate and keep alive. More elaborate sampling methods, such as biopsy of the intestinal mucosa and collection of luminal aspirate fluid using a Camus probe or weighted tube, have made it possible to carry out detailed exploration of all portions of the digestive tract. These new sampling methods and the design of more appropriate culture media for the various species now make it possible to use a good direct

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Hoang-Dung TRAN and friends approach to understanding the intestinal bacterial flora by identifying and counting the species samples. The importance and role of the microbial flora within the host can also be assessed indirectly by determining the bacterial metabolites produced using the following methods:

The breath test or measurement of the hydrogen expired by a subject after ingesting lactulose. Measurement of the activities of various bacterial enzymes in intestinal samples. Tests for fatty acids excreted in the stools by gas chromatography reflecting bacterial metabolism. Counting of a given species of Bacteroides from a mixture of bacterial DNA isolated directly from the stools and exposed to a species-specific labeled DNA probe has been suggested.[212,213] However, this method would not make it possible to differentiate between viable and nonviable bacteria, and a confirmation of the percentage of live bacteria would still have to be carried out using conventional dish culture methods. B.

Composition

The intestinal flora of a human weighs between 1 and 2 kg, that is, roughly the same weight as organs such as liver, brain, or lungs. The digestive tract houses about 1014 bacteria, which means there are more living entities in the flora than there are cells in a normal body and the bacteria consist of 500 species. This flora can be divided into two categories. 1. 2.

The dominant population, the effects of which on the host were the first to be understood. The subdominant population, which accounts for less than 1% of the total bacterial population but which, according to studies,[146] may play a nonnegligible role in the equilibrium of the intestinal ecosystem.

Numerous studies have been carried out to define the composition of the intestinal flora. The main results, shown in Table 12, show some discrepancies, which can easily be explained from the choice of culture methods, isolation media, and counting methods. Generally, the most numerous population in adults is Bacteroides (about 1010.3/g of feces). Thereafter, in decreasing order, come Eubacterium, Bifidobacterium, and then the Peptococcaceae. Of the aero-anaerobes, there are the enterobacteria (108.2) followed by Streptococcus, aerobic Lactobacillus, and finally Staphylococcus (104.4).[5] C.

Factors Affecting the Flora

1.

Factors Ensuring the Equilibrium of the Intestinal Flora

The diversity of bacterial species and their quantity at various levels within the digestive tract can be preserved only by means of physical, chemical, and biological regulatory mechanisms. Intestinal peristaltism results in the elimination of many microorganisms. The acidity of the stomach maintains a low concentration of bacteria in the upper part of the digestive tract and destroys some pathogens. The interactions that exist between various bacterial species are also important in maintaining the equilibrium of the intestinal microflora. It is possible to observe

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Table 12

Fecal Flora of Different Human Groups

Bacterian group Total bacteriaa Aerobic or facultative anaerobic Enterobacteria Streptococcus Lactobacillus Staphylococcus Yeast Anaerobic Bacteroides Eubacteria Bifidobacterium Peptococcus Clostridium perfringens Veillonella

Infant, 1 – 4 days

Infant, 5 – 90 days

Infant, 4 – 6 years

Adult, 20 –64 Adult, 65 –86 years years

10.1

10.5

10.8

10.8

10.5

9.3 8.5 6.4 6.2 3.5

8.8 8.1 7.3 6.8 4.0

8.0 7.8 7.0 4.0 4.2

8.2 7.7 6.7 4.4 3.7

7.8 8.2 8.0 4.3 4.6

8.6 0 9.3 0 5.9

8.2 9.7 9.9 9.0 6.9

10.4 9.9 10.1 8.2 5.7

10.3 9.9 9.8 8.9 4.8

10.0 9.5 9.4 7.7 6.6

5.6

6.3

5.2

4.8

6.1

a

log cfu. Source: Ref. [153].

symbioses between species as a result of the production of vitamins or amino acids or other metabolites which can be assimilated by other species and also of antagonisms due to the release of antibiotics, bacteriocins, or factors such as the volatile fatty acids. 2.

Location and Physiology

The composition of the intestinal flora varies depending on the rate of transit and luminal secretions as well as the intestinal segment.[214] Thus, a given well-defined resident flora corresponds to each portion of the tract. The various factors active along the digestive tract result in qualitative and quantitative differences in the digestive flora, as shown in Table 13. Thus, the flora present in the proximal small intestine (duodenum and jejunum) consists of aerobic gram-positive microorganisms (streptococci and staphylococci) and a few yeasts. This aero-anaerobic flora is subsequently replaced, within the ileum, by a flora consisting of E. coli and anaerobes such as Clostridium, Fusobacterium, and Bacteroides (106 total bacteria per mL).[5] This switch from a dominant aerobic population within the stomach to a strictly anaerobic population within the colon can be explained if we accept that the aero-anaerobic bacteria use any oxygen present, creating the redox conditions for the implantation of anaerobic species in more distal portions. Finally, two parts should be distinguished within the colon: (a) the ascending colon, which contains mainly gram-positive bacteria, which have the primary role of sugar fermentation, and (b) the descending colon, in which the flora, known as “putrefaction flora,” consists mainly of gram-negative bacteria but also some gram-positive bacteria (Clostridium, Bacteroides).

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Table 13

Human Gastrointestinal Flora

Total microbial concentration Strict aerobic or facultative anaerobic bacteria Enterobacteria Streptococcus Staphylococcus Lactobacillus Fongy Anaerobic bacteria Bacteroides Bifidobacterium Peptococcus Clostridium Fusobacterium Eubacteria Veillonellae a

Stomach

Jejunum

Ileum

Colon

0 – 103a

0– 105

103 – 107

1011 – 1012

0 – 102 0 – 103 0 – 102 0 – 103 0 – 102

0– 103 0– 104 0– 103 0– 104 0– 102

102 – 105 102 – 106 102 – 105 102 – 105 102 – 103

104 –1010 105 –1010 104 –107 106 –1010 102 –106

Rare Rare Rare Rare Rare Rare Rare

0– 102 0– 103 0– 103 Rare Rare Rare 0– 102

103 – 106 103 – 107 103 – 104 103 – 104 Rare 103 – 105 103 – 104

1010 – 1012 108 –1012 108 –1012 106 –1011 109 –1010 109 –1012 103 –104

Number per gram of intestinal contents.

This conventional theory, associating a region of the colon with a bacterial function and consequently with particularly dominant species[214] has been challenged by the work of Croucher et al.[206] Their studies of human colon biopsies tend to demonstrate that there is no specific location for the various species within the colon. D.

Age and Diet

This change in the flora is closely linked with the maturation of the digestive system, once more highlighting the importance of the reciprocal host-bacteria relationship. Bacteriological examination of the feces shows that diet has little or no effect on the constitution of the dominant intestinal flora.[215] E.

Role and Effect of the Intestinal Flora

“The gastrointestinal tract is a complex ecosystem with characteristics which depend at each moment on a dynamic equilibrium between the host and the native bacteria.”[214] Exogenous bacteria also influence all the bacteria within the intestinal flora. Some may be probiotic and others simply commensal, whereas others may be pathogens. The overall effect of the microbial flora on the host is generally evaluated by comparing an axenic animal with a holoxenic animal in which the flora has developed normally. This tool has been found to be most useful in demonstrating the effects of a given species or small group of species on the host. 1.

Effect on Physiology of the Intestinal Wall and the Immune Defense System

The intestinal flora modifies the morphology of the mucosa and the rate of turnover and differentiation of epithelial cells. It also follows enterocyte maturation and development

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Hoang-Dung TRAN and friends of the velocities in the neonate.[214,216,217] In the axenic animal, Simon and Gorbach[215] observed an increase in the activity of enterocytic enzymes, in particular alkaline phosphatase, disaccharidase, and b-glucosidase. All these studies have demonstrated the importance of the role of the flora, since it determines the uptake of nutrients and permits the formation of the ecological site for other bacteria. An important role played by the flora is its action in cell maturation observed in the normal development of Peyer’s patches. These observations, first made as a result of histological investigation of the intestinal wall, have subsequently been confirmed by numerous studies demonstrating that resistance to various pathogens is conditioned by the presence of a flora. The intestinal bacteria ensure the maintenance of the immune status by providing repeated antigen stimulation throughout the human life span.

2.

Bacteria as Nutrient Sources

The bacterial mass of the intestine is itself an important source of nutrients: thiamine, riboflavin, folic acid, vitamin B12, pantothenic acid, short-chain fatty acids, amino acids, and proteins, which are partially absorbed and used by the host.[43,218,219] 3.

Metabolic Effects

The bacterial flora produces a very large and varied quantity of enzymes, which are used by the flora itself but also by the host. All the aspects of the intestinal metabolism of the host are influenced by the enzymatic activity of the bacteria it shelters and more particularly the anaerobic bacteria. We will list here some examples of the effects of bacterial metabolism on the host. Enzymatic Action. These bacteria are able to compensate for enzymatic. deficiencies of the host if they are introduced in a sufficiently large number into the digestive tract. This is the case of lactobacilli ingested with yogurt, which can produce the lactase activity missing in lactose-intolerant subjects.[220] Detoxification. Another important action of the intestinal bacteria is their involvement in the enterohepatic cycle and the detoxification of numerous substances and drugs.[221] Thus, cholesterol is converted to form coprostanol and the bile salts to form bile acids and then lipocholic acid and other derivatives conjugated with amino acids such as glycine and taurine, facilitating their detoxification and elimination.[218] Rowland and Grasso[222] have investigated the degradation of the N-nitrosamines by the intestinal flora. Production of Harmful Substances. In contrast, some microorganisms produce substances toxic to the host, notably histamine, tyramine, agmatine, cadaverine, ammonium, phenols, N-nitrosamines, and bacterial toxins. 4.

Tumoral Action

Cancer of the colon is the second greatest cause of death in Great Britain and in the United States. It would appear that 90% of human cancers are due to the environment and could therefore be avoided. Major differences have been observed between cancer risks, but it would seem that neither the place where the population live nor their race is responsible, rather that the etiology of the disease is related to diet.[223] Considerable research has been carried out in an attempt to identify carcinogens. A diet containing low fiber and high quantities of animal fats appears to promote the onset of cancer of the colon, but no directly active carcinogen has been isolated. Aries

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Hoang-Dung TRAN and friends et al.[224] therefore believe that carcinogens may be produced in situ, probably as a result of the enzymatic activity of the bacteria of the digestive flora on a harmless procarcinogen substrate derived from the diet. It is reasonable to think that the intestinal flora could produce or potentiate carcinogens or procarcinogens.

5.

Effect of the Anti-infectious Barrier Toward Pathogens

The microbial population of the gastrointestinal tract forms a barrier against proliferation of exogenous pathogens.[224] One explanation may be that the colonization of the endogenous flora maintains the pathogens at a subclinical level by preventing the colonization of the undesirable flora by competition for the substrate or epithelial receptors.[225] This recently discovered role challenges the theory of the anti-infectious barrier effect suggested by Ducluzeau et al.[220] which holds that the barrier effect can be observed only in bacteria belonging to the dominant flora, and that pathogenicity can be effective only above a certain colonization threshold of the invasive bacteria. In fact, the subdominant flora uses the endogenous substrates for its own metabolism, but also for the dominant population, preventing the proliferation of pathogenic bacteria and the adhesion of other organisms. The intestinal microorganisms inhibit the growth of the invasive pathogens by producing organic acids, particularly volatile fatty acids, deconjugating bile acids, which inhibit pathogenic bacteria in their conjugated forms, and producing bacteriocin and volatile acids, which stimulate peristaltism.[227,228]

XIV. BIFIDUM-INTESTINAL RELATIONSHIPS: PROBIOTIC ROLE OF BIFIDOBACTERIUM Tissier[228] observed a close relationship between the immunity of the breast-fed child and his or her specific flora. Bifidobacteria had long been recognized as bacteria with probiotic, nutritive, and therapeutic properties. These properties have subsequently been clearly defined: the ingestion of fermented milk results in stimulation of the immune system.[229,230] The quantities of b-glucuronidase, azoreductase, and nitroreductase formed by the flora are reduced by the ingestion of Lactobacillus acidophilus,[231] which has also been shown to be active in the degradation of nitrosamines.[220] A large portion of the world’s adult population shows a deficit in galactosidase. Numerous studies have shown that deficient subjects do not show any intolerance toward yogurt.[230] Two explanations can be suggested for this: the activity of bacterial b-galactosidase may persist in the intestine, where a fraction of the lactose present may be metabolized or the ingestion of yogurt may stimulate any intestinal lactase that is still active. In the case of the bifidobacteria, a probiotic effect can only occur if the bifidobacteria survive their transit through the stomach. Some strains of Bifidobacterium are able to resist gastric acidity, and this resistance is increased by the food bolus.[232] The bacterial production of organic acids, particularly lactic and acetic acids, of bacteriocins, and even antibiotics as well as the secretion of enzymes, vitamins, and other growth factors are, together with the stimulation of the immune system and accumulation of specific metabolites, the determining factors in a probiotic action. We can now attribute the functions described below to the bifidobacteria.

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A.

Adhesion to the Intestinal Epithelium

The adhesion of the bifidobacteria to the epithelial cells permits the formation of ecological niches within which the growth of bacteria is maintained regardless of changes in the habitat, thus enabling them to produce a genuine effect. The bacterial biofilm, bound to the epithelial walls, maintains the mechanism of in situ production of various bacterial metabolites, which themselves have an effect on other bacterial genera and even on the host. In addition, it has a defense function against pathogenic bacteria. B.

Action on the Morphology and Physiology of the Digestive Tract Wall

Bifidobacteria influence the maturation and turnover cycle of the enterocyte, together with the development of the intestinal velocities.[214,215] They are also involved in the degradation and replacement of intestinal mucins.[233 – 237,145,146] They may also have an action on the immune system appended to the digestive tract.[231] C.

Nutritional Effects

The production of vitamins (B1, B6, B9, B12, and PP), amino acids (alanine, valine, aspartic acid, and threonine), and the fact that they produce only L þ lactic acid, which is completely metabolized by humans enhances the nutritional characteristics of the bifidobacteria.[43,218,219] D.

Metabolic Effects

1.

Suppression of Lactose Intolerance

Bifidobacteria, unlike Lactobacillus delbruekii ssp. bulgaricus and Streptococcus salivarius ssp. thermophilus, are resistant to biosalts[239] and as a result can have an in situ effect on the metabolism of lactose. 2.

Hypocholesterolemic Effect

Several studies have tended to demonstrate a relationship between the presence of a lactic microflora and a reduction in plasma cholesterol. The administration to hyporcholesterolemic human subjects of fermented milks containing very large quantities of Bifidobacterium (109 bacteria per gram) results in a fall in the total cholesterol from 3 to 1.5 g/mL.[240,241] The consumption of fermented dairy products could lead to a reduction in serum levels of cholesterol. Bacteria-producing lactic acid also produces hydroxy-methylglutaryl – CoA reductase, which is involved in the synthesis of cholesterol,[242] Rao et al.[243] have shown that the metabolites produced from orotic acid during fermentation of fermented products could be responsible for this hyporcholesterolemic effect. Jaspers et al.[244] have shown that both orotic and hydroxymethylglutaric acids reduce serum cholesterol, whereas uric acid inhibits the synthesis of cholesterol. In vitro, bifidobacteria apparently affect the activity of HMG – CoA reductase.[240] It is difficult to determine the role that should be attributed to the bifidobacteria, and studies are in progress intended to demonstrate the involvement of bifidobacteria in the reduction of cholesterol levels.

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109

Hoang-Dung TRAN and friends Deconjugation of Bile Acids, Reduction of Nitrosamines, and Inhibition of the Reduction of Nitrates

Bile acids are secreted into the duodenum in their form of conjugates with glycine or taurine. Most strains of the genus Bifidobacterium are able to hydrolyze sodium taurocholate and glycocholate in the colon.[245] The hydrolases involved are constitutive and extracellular.[15] 4.

Other Metabolic Effects

The ingestion of milk fermented with Lactobacillus acidophilus and B. bifidum for a period of 3 weeks has no effect on the production of hydrogen or methane or on fetal b-galactosidase activity, but does increase the activity of fecal b-glucosidase, and these four parameters are good indicators of the fermentation capacity of the colonic flora.[246] E.

Effect of the Anti-Infectious Barrier to Pathogenic Bacteria

It has long been possible to demonstrate close relationships between the probiotic and therapeutic effects of bifidobacteria, but few studies have been carried out in human subjects: B. longum has a barrier effect against Escherichia coli in the axenic rat.[227] Axenic mice monoassociated with B. longum live longer than truly axenic mice after the intravenous or intragastric administration of high doses of viable E. coli.[247] The intestinal flora of leukemia patients is modified by chemotherapy, and bacteria that are usually rare in healthy subjects multiply considerably. This disequilibrium of the intestinal microflora is countered by oral administration of B. longum.[248] In infants suffering from rotavirus-induced diarrhea, the concomitant administration of B. longum –fermented milk with the antibiotic treatment results in a reduction in the number of stools and the number of Bacteroides and a more rapid regain of weight compared with treatment with antibiotic alone.[249] Two hypotheses have been advanced to explain this probiotic effect: 1. 2.

Prevention of the colonization of the intestine by pathogens by competing for nutrients and for binding sites on the epithelial surfaces.[218,220,227,250] The production of lactic and acetic organic acids during the fermentation of carbohydrates by bifidobacteria, which results in a reduction in the pH of the intestine and consequently inhibits the growth of the undesirable bacteria.[218]

The implantation of bifidobacteria is promoted in infants by breast-feeding. The permanent acidity of the intestinal contents that results from the development of bifidobacteria has a bacteriostatic effect against E. coli and gram-negative bacteria.[141] Acidification has a bactericidal potential, especially against gram-negative bacteria. Acetic acid has a stronger antagonistic effect against gram-negative bacteria than lactic acid, and it is produced in greater quantities by Bifidobacterium.[218] This difference appears to be due more to the quantity of undissociated acid than to the type of acid. The pKa of acetic acid is 4.76, whereas that of lactic acid is 3.86. Acetic acid 8.4% and lactic acid 1.1% are present in an undissociated form at an intestinal pH of 5.8. Acetic and lactic acids are produced in the bifidobacteria in a ratio of 3/2, which results in about 11 times more undissociated acetic acid than undissociated lactic acid. The acidity

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Hoang-Dung TRAN and friends stimulates the peristaltic movements of the intestine, which facilitates elimination of any pathogens present.[226,251] Knocke et al.[252] have investigated the in vitro interactions between B. adolescentis and Bacteroides ovatus. In a continuously renewed complex medium they observed that the inhibition of Bacteroides by the bifidobacteria appears to be due to the production of certain metabolites by the latter. Yamazaki et al.[6] have investigated the translocation capacity of E. coli in the axenic mouse. Intragastric inoculation of E. coli at sublethal doses results, weeks later, in the appearance of this strain in the liver, spleen, kidneys, and lungs of monoassociated animals. In contrast, previous implantation of B. longum in the axenic mouse allows the animal to survive and results in the disappearance of E. coli from all the organisms invaded within one week, although they remain present at high levels within the colon. The most probable explanation for this phenomenon would be the reinforcement of the immune barriers. B. longum may be capable of affecting both humoral immunity and cellular immunity.[227] The production of bacteriocins by bifidobacteria was studied by Meghrous et al.[253] in 13 strains. The antimicrobial substance detected was of a protein type, heat-stable and active at pH values ranging from 2 to 10 versus other gram-positive species including some strains of Clostridia.

F.

Therapeutic Effects

1.

Antitumor Effect

The research so far carried out has been essentially concerned with the direct or indirect antitumor action of streptococci, lactobacilli, and bifidobacteria.[254,255] B. longum has a direct inhibitory effect on liver tumors in the mouse.[256] In the mouse, B. infantis has an undeniable antitumor effect.[257] The number of tumors developed by mice with an intestinal flora including E. coli, Enterococcus faecalis, and Clostridium paraputrificum is considerably reduced if B. longum is present.[256] The antitumor action may be obtained as a result of (a) direct suppression of the procarcinogens,[258] (b) the reduction of indirect suppression of procarcinogens or bacterial enzymes which result in their formation, (c) activation of the host’s immune system,[251] and (d) reduction of the intestinal pH.[260] 2.

Prevention and Treatment of Other Diseases

In l966 Bamberg[261] successfully treated digestive disorders induced by antibiotic treatment using a lyophilized culture of B. longum. Similarly, Haller and Krau¨berg[262] and Neumeister and Schmidt[263] obtained similar results in radiation-treated subjects. Bifidobacteria were successfully administered to premature infants with an intestinal flora that had been disturbed by the taking of antibiotics.[264] Seki et al.[265] developed a treatment for constipation in the elderly based on Bifidobacterium. The ingestion of milk fermented with B. longum is successful in regularizing digestive transit in pregnant women (reduced abdominal ballooning, diarrhea-type phenomena, or constipation).[7] The intestinal flora and health status of children suffering from diarrhea were restored more rapidly after the ingestion of milk fermented with B. breve.[266] The ingestion of milk fermented with B. longum can play not only a preventive role in healthy subject, by maintaining high levels of bifidobacteria in the flora, thus preventing diarrhea and constipation, but also a therapeutic role in patients suffering from diarrhea.[267] The intestinal disorders in 34 Soviet cosmonauts were successfully treated by the ingestion of bifidobacteria.[268]

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Hoang-Dung TRAN and friends This nonexhaustive review of the beneficial effects of bifidobacteria demonstrates that in all cases it was bifidobacteria of human origin and more particularly B. longum that had been used.

XV.

CONCLUSION

The current use in fermented milks of probiotic bacteria and of bifidobacteria in particular presumes that the user will take all necessary precautions with regard to the following aspects. A.

Choice of Species

This is the most important factor if it is intended that the product should have genuine probiotic qualities. Since B. dentium is recognized as being pathogenic, eight species could theoretically be used. B.

Strain Identification

B. bifidum, B. breve, B. infantis, and B. longum constitute no danger, but other bifidobacteria in this group could be confused with B. dentium if genetic methods are not used to identify the strain (Table 11). C.

In Vitro and In Vivo Verification of the Probiotic Potential of the Strain

This potential can only be demonstrated through clinical and nutritional studies, and no strain has all the qualities demonstrated for the genus Bifidobacterium as a whole. In this field, the choice must still be based on the probiotic activities desired. D.

Technological Potential

The choice in this field must take into account several factors such as the acetate/lactate ratio, the relationships of the bifidobacteria with other species in the product, the tolerance of the strain of acidity and above all of oxygen. Furthermore, the distribution conditions for these products must be such as to ensure the survival of the bifidobacteria under good physiological conditions.

REFERENCES 1. Metchnikoff, E. The Prolongation of Life; G.P. Putnam, 1908; 4 pp. 2. Gurr, M.I.; Marshall, V.M.E.; Fuller, R. Laits fermente´s, microflore intestinale et nutrition. Bull. Fed. Int. Laiterie 1984, 54– 59. 3. Tissier, H. Recherche sur la flore intestinale des nourrissons (etat normal et pathologique), The`se de me´decine de l’Universite´ de Paris, 1990. 4. Manciaux, M. Bifidobacterium bifidum: ses facteurs de crossance. Essais d’implantation chez le nourrisson; Universite´ de Nancy, The`se; 1958. 5. Mitsuoka, T. Recent trends in research on intestinal flora. Bifidobacteria Microflora 1982, 1 (1), 3 –24.

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Hoang-Dung TRAN and friends

3 An Update on Probiotic Bifidobacteria ROSS CRITTENDEN Food Science Australia, Werribee, Victoria, Australia

I.

INTRODUCTION

Research and commercial interest in the genus Bifidobacterium has flourished in recent years, driven almost entirely by their potential health benefits in probiotic functional foods. In 1990 there were approximately 30 publications in the international literature focusing on bifidobacteria. In 2002 there were more than 10 times that number. The previous chapter by Jean Ballongue provides an historical perspective on the discovery of bifidobacteria, their basic physiology, and an overview of the beginnings of a new wave of interest in these organisms as probiotics. Since Ballongue’s chapter was published in 1998, there have been numerous changes within Bifidobacterium taxonomy and the development of new applications and food technologies. A fundamental switch from culture-based, phenotypic examination of microbial diversity to the application of cultureindependent molecular techniques has provided new insights into the ecology of bifidobacteria within the intestinal tract. Exciting advances have been made in demonstrating the efficacy of probiotic bifidobacteria in human health, including roles in the treatment of allergy and the maintenance of remission in inflammatory bowel disease. New therapeutic applications for bifidobacteria have emerged, such as their use to deliver targeted gene therapy to hypoxic tumors. This chapter provides an update on our current knowledge of bifidobacteria as probiotics. It focuses on recent advances in food technology, our understanding of the ecology of bifidobacteria in the human intestinal tract, and emerging evidence for clinical benefits and mechanisms of probiotic action. II.

WHY BIFIDOBACTERIA?

Lactic acid bacteria have a long history of use in fermented foods. However, the question is often raised as to why bifidobacteria have joined lactobacilli as a target for probiotic 125 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends research and commercial application. From an historical perspective, there were some sound scientific and technological reasons for the initial development of interest in this genus. First among these was that they were known to constitute a major population group within the human colonic microbiota.[1] Interest in reinforcing the numbers of these bacteria in the intestinal tract stemmed from studies showing that bifidobacteria constituted the numerically dominant microbial population in the intestinal tract of infants who were fed breast milk, whereas infants who were fed using cow’s milk –based formulas developed a mixed microbiota, including higher levels of potentially deleterious organisms.[2,3] Additionally, the levels of bifidobacteria were shown to decline in the elderly, and were replaced by putrefactive bacteria, especially clostridia and enterobacteria (see Chapter 2). Like lactobacilli, bifidobacteria were considered desirable, healthpromoting bacteria, with a saccharolytic and acidogenic physiology, and without involvement in putrefying or toxigenic reactions or pathogenicity. Hence, the consumption of live bifidobacteria to maintain or restore a population of “healthy” intestinal bacteria was popularized in a similar way to lactobacilli before them. Technological considerations also facilitated the adoption of bifidobacteria as probiotics. Bifidobacteria produce lactate and acetate during sugar fermentations, without gas formation, and, for most strains, without compromising the organoleptic qualities of fermented dairy foods. Many species grow well using lactose as a carbon source, and so they can be used in fermented dairy products, the traditional food vehicle used for probiotic lactobacilli. With the theory that two is better than one, probiotic bifidobacteria now appear alongside lactobacilli in a large proportion of probiotic functional foods. The science to evaluate the theoretical benefits of the consumption of bifidobacteria has largely lagged behind their commercial application.

III.

TAXONOMY

As for most bacterial genera, the application of molecular techniques to determine relatedness of bacteria at the genome level has led to some recent reclassifications of species within the genus Bifidobacterium (Table 1). Notably, Bif. infantis and Bif. suis have been amalgamated into Bif. longum;[4] Bif. lactis has been absorbed into Bif. animalis,[5] while Bif. denticolans and Bif. inopinatum have been reclassified into new genera.[6] The names Bif. infantis, Bif. suis, and Bif. longum are recognized as heterotypic synonyms.

Table 1

Changes in the Taxonomy of Bifidobacteria

Old designation Bif. denticolans Bif. globosum Bif. infantis Bif. inopinatum Bif. lactis Bif. suis

New designation Parascardovia denticolens Bif. pseudolongum subsp. globosum Bif. longum Scardovia inoponata Bif. animalis Bif. longum

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Recent additions to the genus Bif. coryneforme Bif. gallicum Bif. gallinarum Bif. merycicum Bif. ruminantium Bif. saeculare Bif. scardovii Bif. thermacidophilum

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Hoang-Dung TRAN and friends A number of new species of bifidobacteria have also been isolated and characterized (Table 1). Among these, Bif. thermacidophilum[7] stands out from other Bifidobacterium species. As its name suggests, it can grow at elevated temperatures (49.58C) and at relatively low pH (4.0). Taxonomy is important not only from scientific, evolutionary, and ecological points of view, but also from regulatory, safety, and marketing standpoints. Taxonomic classification should be included as an early step in the development of any new probiotic strain. Demonstrating a safe history of use in foods facilitates passage of probiotic ingredients through food regulatory frameworks, and identifying a new probiotic strain at the species level is important in assessing its relative risk. In the case of bifidobacteria, species other than Bif. dentium, which is associated with dental caries, are generally regarded as safe.[8] In the past there has been substantial discrepancy between the Bifidobacterium species designated on a product label and the species found in the product itself.[9,10] Manufacturers of probiotic dairy products appear to have improved their attention to correct taxonomy in recent years,[11] if only by limiting designations to the genus and strain level. There is still considerable room for improvement,[12] and the problem appears to still be particularly widespread in freeze-fried probiotic preparations[11] and animal probiotic products.[13,14] The constant flux in species designations can cause headaches for commercial suppliers, but since probiotic attributes vary within species and must be defined at the strain level, a strain designation is the primary identification promoted for many probiotics. The reclassification of Bif. lactis to Bif. animalis is probably the most contentious of the new changes in taxonomy. Strains formerly classified as Bif. lactis are the most commonly used bifidobacteria in fermented dairy probiotic products,[11] and the name Bif. lactis is rather more palatable to marketers of probiotics for human consumption than Bif. animalis. Strains within the Bif. lactis/animalis group are considerably more acid-, oxygen-, and thermotolerant than most human intestinal Bifidobacterium species (Figs. 1, 2) and technologically suited to fermented dairy products. On the basis of distinct clusters from PCR methods targeting the 16S– 23S internally transcribed spacer region of Bif. animalis and Bif. lactis, the separation of Bif. lactis from Bif. animalis at the subspecies level has been proposed.[15] The application of molecular techniques to characterize currently uncultivable bacteria will undoubtedly lead to the discovery of many new species and genera of bacteria in a range of habitats. In the complex milieu of the intestinal tract of humans and animals, there are almost certainly new species awaiting discovery, and the taxonomic map of the bifidobacteria can be expected to undergo further changes in the coming years.

IV.

SAFETY

Except for Bif. dentium (dental caries), bifidobacteria are regarded as safe.[8] A number of bifidobacteria now have a long history of safe use as dietary adjuncts, Bif. adolescentis, Bif. animalis/Bif. lactis, Bif. bifidum, Bif. breve, and Bif. longum/infantis have GRAS (generally regarded as safe) status.[16] After more than 20 years of use in probiotic foods and investigation in a large number of animal studies and in human feeding trials, deleterious effects have yet to be reported for bifidobacteria. Human feeding studies have been performed without reports of adverse health effects in age groups ranging from infants[17,18] to the elderly[19 – 22] and in healthy individuals and those with intestinal disease.[23 – 26]

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Hoang-Dung TRAN and friends

Figure 1

Bifidobacterium lactis is considerably more tolerant to acidic conditions than species indigenous to the human gastrointestinal tract. This figure represents viable counts of bacteria before (A) and (A) after incubation in HCl/KCl at pH 2.0 for 105 min at 378C. (Modified from Ref. 39.)

Reports of human bacteremias involving bifidobacteria are rare. In the rare cases of bacteremia where bifidobacteria have been found, the subject has been predisposed to infection by surgical trauma or underlying health disorders, and the bifidobacteria have formed part of a mixed culture bacteremia involving other usually benign commensal bacteria.[27] The rarity of reported infections and inadequate taxonomic characterization

Figure 2

Bifidobacterium lactis is able to grow at higher temperatures than Bifidobacterium species indigenous to the human gastrointestinal tract. B Bif. lactis; W Bif. adolescentis; A Bif. longum; O Bif. breve. (Modified from Ref. 39.)

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Hoang-Dung TRAN and friends of offending isolates has precluded any associations being made between particular species and human bacteremias. The low incidence and predisposing circumstances of bacteremias involving bifidobacteria, when combined with the long and safe history of use of some strains in foods, supports the conclusion that bifidobacteria are generally safe for probiotic use. However, this does not mitigate the need for adequate safety testing of new probiotic Bifidobacterium strains before they are used commercially. Surveying of the probiotic bifidobacteria used in yogurts and lyophilized products has demonstrated regular discrepancies between species labeled and those in the product, with yogurt being dominated by Bif. lactis/animalis.[9,11] Therefore, the number of species with a safe history of use in foods may be lower than the history of product labeling would suggest. The application of culture-independent methods of investigating microbial diversity in niche´s within the host will lead to the identification of new species that require characterization from a safety viewpoint. One example is a potentially novel Bifidobacterium species identified in deep caries that may play a role in disease.[28] A number of articles discuss safety tests that should be applied to new probiotic isolates.[8,27,29] (See Chapter 19 for further details on the safety assessment of probiotics.)

V.

TECHNOLOGY

Probiotics are believed to elicit their beneficial health effects when viable, although this dogma is being increasingly challenged.[30,31] Whether viability is an essential requirement for all health effects elicited by probiotics is an intriguing question that demands further investigation. Currently, however, manufacturers aim to maintain a high level of probiotic culture viability throughout the shelf life of their products. Not only viability, but also functionality must remain stable during manufacture, formulation, storage, and intestinal delivery. Since bifidobacteria are strict anaerobes and generally less acid tolerant than lactobacilli, their use in functional foods provides greater technological challenges. Fermented dairy products are still the major food vehicles in which probiotic bifidobacteria are delivered. A number of parameters, including interactions with other starter and probiotic strains, salts, sugars, and flavoring and coloring compounds, can influence the survival of bifidobacteria in these products.[32 – 36] However, oxygen and pH exert perhaps the greatest influence on Bifidobacterium survival during storage. Oxygen sensitivity can be addressed by strain selection and with appropriate packaging techniques and materials.[37] The relative oxygen sensitivity of a range of Bifidobacterium strains has been reported by Beerens et al.,[38] and in general species of animal origin are more oxygen tolerant than those isolated from humans. The physiological mechanisms behind the acid tolerance of Bif. animalis/lactis compared to human intestinal isolates remains to be investigated and may provide important clues to improving the survival of pH-sensitive strains. Bif. lactis can survive well in fermented dairy products throughout their shelf life if the pH is prevented from dropping below 4.1.[39] This is sometimes achieved by limiting fermentation by traditional yogurt starter cultures or by omitting starter species, although the inclusion of Lactobacillus delbrueckii subsp. bulgaricus is mandatory in yogurts in many countries. Most human intestinal Bifidobacterium isolates are more challenging to grow and maintain higher viability during product storage than Bif. animalis, and technological approaches such as immobilization, microencapsulation, and induction of stress proteins have been employed to improve stability. The outcomes of some of these strategies are discussed later in this section.

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Crittenden

Hoang-Dung TRAN and friends Food Applications Other Than Fermented Dairy Products

Bifidobacteria have now been successfully applied to a range of food matrices beyond dairy yogurt and fermented milk. To simulate the bifidogenic effect of human breast milk, bifidobacteria and bifidogenic oligosaccharides are now included in some powdered infant formulas.[40,41] They have been used in fermentations of goat’s,[42] sheep’s, and camel’s milk[43] and in fermented soybean[44 – 46] and oat-based[47,48] products. Bifidobacteria have been reported to grow and survive in a variety of cheeses[49 – 52] and remain viable in ice cream[53] and in frozen yogurt.[54] Attempts to maintain high viability of bifidobacteria in coleslaw[55] and a table spread[56] have proved less successful. One interesting application of these bacteria has been as a biocontrol agent in fermented meat. A Bif. lactis strain incorporated into a Hungarian salami was reported to inhibit the growth of Listeria monocytogenes and Escherichia coli strain 0111.[57] B.

Microencapsulation

A number of microencapsulation technologies to protect bifidobacteria against acidic conditions have been developed. Most have been only partially successful. The technical hurdles in the application of microencapsulation for probiotic bifidobacteria are not insignificant. The demands include protection against oxygen and other environmental stresses during product formulation and storage; protection against low pH, proteases, and bile during gastric intestinal transit; efficient release of the bacteria within the gastrointestinal tract; and all with an encapsulating material that is inexpensive, stable, foodgrade, and with suitable sensory properties. Alginate,[58 – 65] carrageenan,[66,67] modified starch,[68] gellan-xanthan,[69] and cellulose acetate phthalate[70] have all been trailed. In laboratory models simulating the acidic conditions in the stomach, encapsulation with alginate, carrageenan, and modified starch have generally failed to substantially improve the survival of acid-sensitive bifidobacteria. More encouraging results have been reported for improved survival in food products, but it is questionable if the level of improved viability could justify the increased production costs in commercial food applications. Another impediment to the application of some microencapsulation techniques in certain food matrices is the imposition of deleterious effects on sensory properties. Those reported have included imparting a grainy texture[67] and stimulating production of off-flavors, presumed to be due to mass transfer –induced nutrient limitation effects on metabolism.[65] However, the story of microencapsulation of bifidobacteria is not all doom and gloom. Microparticles manufactured using alginate and poly-l-lysine and particles produced using cellulose acetate phthalate in spray drying have been reported to significantly improve survival of bifidobacteria in acidic environments.[61,70] Microencapsulation has also been shown to provide a beneficial impact on sensory parameters in yogurt by preventing excessive acidification, while at the same time improving viability.[66] Microencapsulation may yet prove to be a valuable approach to maintain the viability of environmentally sensitive bifidobacteria in long shelf-life food products. C.

Induction of Stress-Response Proteins

Perhaps the most judicious approach to improving the tolerance of bacteria to environmental stresses is by preconditioning cultures through induction of shock proteins. The presence of the heat shock protein gene dnaK has been demonstrated in Bif. longum,

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Hoang-Dung TRAN and friends Bif. adolescentis, and Bif. breve.[71] Such stress-response proteins in bifidobacteria might be exploited to promote survival of strains during intestinal transit. Preconditioning with bile salts was shown to provide improved protection against lethal concentrations of bile for Bif. longum and Bif. adolescentis. As in other bacteria, cross-protection was afforded by the stress-response proteins since salt pre-treatment of a Bif. longum strain resulted in increased tolerance to both freeze-thawing and lethal heat stress. Inducing stress proteins during fermentation and maintaining their presence downstream may contribute to improved survival of environmentally sensitive bifidobacteria during manufacture, storage, and gastrointestinal transit.

D.

Fermentation and Drying

Bifidobacteria generally grow well in industrial media that support the growth of lactobacilli, including whey-based media supplemented with yeast or beef extract.[72] Prehydrolysis of media with proteases often improves fermentation yields,[73] and consideration of the carbon substrate is important since not all strains can utilize lactose. Companion cultures, including lactobacilli and propionibacteria, have also been shown to increase Bifidobacterium yields in fermentations in a strain-dependent manner.[74,75] Occasionally intestinal isolates prove quite fastidious with respect to their growth environment. One example is the apparent requirement of some strains for high cell density for growth. A too dilute inoculum or even gentle stirring of the cultures, even under anaerobic conditions, inhibits the growth of such strains. Freeze-drying remains the most commonly employed method of drying bifidobacteria for commercial use. However, spray-drying has been used successfully for some strains when carriers such as gelatine gum arabic, or starch were added and relatively low air outlet temperatures (508C) were used.[61,68,76] The suitability of spray drying for bifidobacteria is highly dependent on the robustness of individual strains. E.

Bioconversions

The metabolic activities of bifidobacteria have been exploited to produce bioactive compounds during fermentations that potentially increase the health functionality of the food products. Examples include the production of folic acid[77] and oligosaccharides in fermented milk and yogurt,[78] transformation of isoflavone phytoestrogens in soy milk,[45] synthesis of conjugated linoleic acid from free linoleic acid,[79] and production of bioactive peptides with potential antihypertensive effects.[51] VI.

ECOLOGY OF BIFIDOBACTERIA WITHIN THE HUMAN GASTROINTESTINAL TRACT

The application of bifidobacteria as probiotics has provided fresh impetus for research aiming to provide an understanding of the ecology of these bacteria within the human intestinal tract. Knowledge of the interactions between the microbiota and the health and disease of the host is an essential prerequisite for a mechanistic understanding of probiotic efficacy. Recent years have seen a surge in the development of the molecular tools needed to investigate bacterial population dynamics in complex ecosystems. Until the mid-1990s most investigations of intestinal microecology had relied on culture techniques to isolate the bacteria. The complexity of the intestinal microbiota was still recognized, however,

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Hoang-Dung TRAN and friends and it was estimated to contain more than 400 species dominated by perhaps 30 –40.[80] The emergence of culture-independent, genetic methods to examine bacterial diversity has revealed that a significant fraction of the microbiota [up to 60%][80] remains uncultivable and that the intestinal ecosystem is far richer than was previously believed.[81] New taxa continue to emerge, and the number of bacterial species identified within the intestinal microbiota may eventually exceed 1000.[81] The 16S ribosomal RNA (rRNA) gene has become an important tool in classification, enabling investigation of microbial diversity at both the genus and species level.[81] The discriminatory power of genetic fingerprinting techniques has allowed even deeper examination of bacterial diversity at the strain level.[82 – 85] Genetic techniques to study intestinal microbial ecology have been eloquently reviewed by Vaughan et al.,[81] Tannock,[84] and McCartney.[86] Understanding the role of bifidobacteria within the intestinal microbiota and their interactions with diet and with the host is an enormous task, made more onerous by the difficulties in sampling within the intestinal tract. We are only at the very beginning of developing this knowledge, but can expect rapid advances in coming years with the application of high-throughput genomic technologies to this task.

A.

Where Are Bifidobacteria Within the Intestinal Tract?

Indigenous bacteria are not distributed evenly throughout the gastrointestinal tract but are found at population levels and in species distributions that are dictated by the environmental conditions that are characteristic of specific regions of the gut.[87] The stomach and proximal small intestine contain relatively low numbers of bacteria (103 –105 bacteria/ mL) because of the low pH and rapid flow in this region. Bacterial numbers and diversity increase through the intestine, reaching 108 bacteria/mL in the ileum and 1010 –1011 bacteria/g in the colon.[87] In the feces of healthy adults, bifidobacteria are generally found in the order of 108 – 10 10 bacteria/g.[81,85,88,89] Due to the difficulties involved in obtaining samples, there have been few reports of Bifidobacterium ecology at different sites in the human intestinal tract. Marteau et al.[90] investigated the differences in total Bifidobacterium numbers (and other bacteria) in samples collected from the cecum of healthy volunteers via an intestinal tube and compared the cecal population to that found in feces. Using culture methods, the bifidobacterial population in feces (8
108 bacteria/mL) was found to be 100-fold larger than in the cecum (5
106 bacteria/mL). However, in terms of the total bacterial population, investigated using 16S RNA probes, the relative proportion of bifidobacteria declined from 5.8% of total RNA in the cecum to 3.2% in feces (a figure in agreement with other estimates of the fecal bifidobacterial population using culture-independent methods[91 – 94]). In addition to the different anatomical sections of the intestinal tract, distinct microhabitats also exist within each gut compartment. These include the intestinal lumen, the unstirred mucus layer of the epithelium, the deep mucus layer within the intestinal crypts, and the surface of mucosal epithelial cells.[87] Many bifidobacteria adhere to human intestinal mucus in vitro,[95 – 98] and introduced probiotic strains have been found both associated with the mucosa throughout the colon and in the lumen.[25] Within the lumen, particulate matter, including dietary fibers and other undigested food particles, also supply sites for bacterial colonization.[99] Many bifidobacteria adhere well to resistant starch,[100] and it is likely that they colonize particulate substrates in the colon. The site of intestinal

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Hoang-Dung TRAN and friends colonization may be important in the mechanism of health benefits imparted by probiotic bifidobacteria, such as colonization resistance and immunomodulation, but further work on the molecular bases for health mechanisms is required before such assessments can be made.

B.

Which Species Are Present and How Does the Population Change with Age?

1. Infants Bifidobacteria colonize the human intestinal tract during or soon after birth and in breastfed infants eventually dominate the microbiota, forming up to 90% of the total fecal bacteria.[101] The dominance of bifidobacteria is induced by bifidogenic components in breast milk, mainly oligosaccharides.[41,101] The Bifidobacterium species most commonly isolated from breast-fed infants are Bif. bifidum, Bif. breve, and Bif. longum/ infantis.[87,102] 2. Adults The proportion of bifidobacteria in the colonic microbiota drops following weaning and the introduction of solid food. In adults, they have been reported to account for 1 –5% of the total bacteria in feces in studies using molecular techniques that account for the uncultivable microbiota.[81,90 – 94] The numerically dominant species in the intestinal tract also changes with age. In adults, Bif. adolescentis, Bif.catenulatum/pseudocatenulatum, Bif. bifidum, and Bif. longum are the most frequently reported species, with considerable variation between individuals.[89,94,102 – 104] 3. Elderly Early studies using culture methods reported that Bifidobacterium levels decreased as a proportion of the total fecal microbiota in elderly Japanese.[1] This finding has only recently been readdressed using modern bacteriological and molecular techniques. A study from the United Kingdom[105,106] confirmed the earlier Japanese observation[1] of a drop in Bifidobacterium numbers in the elderly using viable counting procedures, 16S rRNA analysis, and community cellular fatty acid profiles. In contrast, the reported fecal Bifidobacterium numbers were not abnormally low in two independent studies of elderly Italians,[107,108] or in a Dutch study by Harmsen et al.[93] comparing the fecal bifidobacterial levels from different age groups using fluorescent in situ hybridization (FISH). Harmsen et al.[93] found that bifidobacteria declined from 68% of total bacteria in the feces of breast-fed infants to 5.6% of total bacteria in young children (1 –10 years) and 2.5% in adults (25 – 55 years) and actually increased to 8.5% in elderly subjects (75 –95 years). The influence of diet, cultural, and genetic variations on intestinal ecology are still poorly understood and may result in regional differences in intestinal microecology. In addition to a drop in bifidobacterial numbers, Hopkins et al.[106] observed that the diversity of Bifidobacterium species in the intestinal tract decreases with age. Although considerable variation exists between individuals, Bif. adolescentis and Bif. longum appear to be the most common intestinal species in the elderly,[96,108] with Bif. bifidum [108] and Bif. angulatum also reported.[106] One of potentially many mechanisms for this change in the size and composition of the intestinal bifidobacterial population in the elderly may be altered mucosal adhesiveness. Intestinal mucus isolated from the elderly supports in vitro adhesion of bifidobacteria relatively poorly compared to mucus isolated from infants and

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Hoang-Dung TRAN and friends healthy adults.[95] Additionally, bifidobacteria isolated from the elderly, especially strains of Bif. adolescentis, bind poorly to intestinal mucus compared to bifidobacteria from adults,[96] perhaps reflecting a change in selective pressures for mucosal colonization.

C.

How Stable Is the Bifidobacterium Population Over Time?

In infants, the intestinal microbiota is unstable and developing and through childhood to adulthood develops increasing complexity and stability.[81,109] In adults, the bacterial population of the colon at the genus and species level appears to be very stable over time.[80,81,109,110] Satokari et al.[89] used PCR-DGGE (PCR-denaturing gradient gel electrophoresis) to follow the Bifidobacterium species diversity in five healthy adults over a 4-week period. No substantial changes in the species composition or relative intensity of bands were observed, indicating that the Bifidobacterium population remained stable at the species level. Similar results were reported by Tannock,[80] including a study in which the fecal bifidobacterial population of an individual was monitored for 8 months using species-specific PCR-DGGE.[110] At the strain level, differences in Bifidobacterium population stability were observed between two adults monitored for 12 months.[82] Further analyses of larger sample sizes over long periods at a strain and species level are required to provide a better picture of ecological stability at the strain level. D.

Are My Bifidobacteria Different from Yours?

The application of molecular techniques to profile the complex microbial communities has revealed that each person has a unique intestinal microbiota at the community, genus, and species level.[109,110] PCR-DGGE analysis of the composition of Bifidobacterium species in the feces of different individuals has shown that each person has a unique pattern.[80,89] It appears that we all harbor our own particular combination and proportion of Bifidobacterium species. When differences between individuals’ intestinal bifidobacteria have been investigated at the strain level, each person has generally harbored unique multiple strains.[82,83,85] Despite these differences in taxonomy, it is likely that the functionality and biochemistry of the intestinal bifidobacterial population as a whole differs little between individuals.[110] This uniqueness of species and strain combinations may have important implications for the introduction of “foreign” probiotic strains into the intestinal tract of adults with a developed and stable intestinal microbiota. It opens debate into the relative merits of the prebiotic approach of stimulating proliferation of the native intestinal bifidobacteria versus probiotic effects within different age groups. E.

Can Diet Influence the Bifidobacterium Population Dynamic?

The example of differences between the size and composition of the intestinal Bifidobacterium populations in breast milk-fed and formula-fed infants clearly demonstrates that diet can influence bacterial population dynamics during the early maturation of the intestinal microbiota. This effect is elicited largely by oligosaccharides within human breast milk[87,101] and can be simulated through the supplementation of cow’s milk – based formulas with nondigestible oligosaccharides (NDOs).[41,111] The bifidogenic effect of dietary NDOs can be replicated in adults, although to a lesser extent. Consumption of a range of oligosaccharides can induce 10- to 100-fold increases in Bifidobacterium num-

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Hoang-Dung TRAN and friends bers in the intestinal tract of adults.[112] Bifidogenic oligosaccharides form part of a class of dietary supplements called “prebiotics,”[113] which are discussed in more detail later in this chapter. Although bifidobacterial numbers can be increased using prebiotics, the apparent stability of the intestinal bifidobacterial population dynamic in adults suggests that dayto-day fluctuations in diet have little impact on the species composition. Feeding of 8 g/day of galacto-oligosaccharides to healthy adult volunteers did not result in marked changes in the composition of their intestinal bifidobacterial population.[114 – 116] However, a prominent bifidogenic effect was also not observed in this feeding trial, probably due to the high initial level of bifidobacteria. It remains to be seen if prolonged consumption of dietary carbohydrates that are selectively fermented by only a narrow range of Bifidobacterium species, such as arabinoxylans,[117] can alter the composition of Bifidobacterium species within the intestinal tract.

F.

Is the Intestinal Bifidobacterium Population Dynamic Associated with Health and Disease?

The growing recognition of the importance of the intestinal microbiota to the healthy maturation of the host’s immune system, including the development of tolerance to dietary antigens, has stimulated investigations of differences between the intestinal microbiota of atopic and healthy infants.[118 – 124] Differences have been observed in the respective intestinal bacterial populations in allergic and healthy infants, including within the bifidobacteria. The total numbers of bifidobacteria are lower in feces of allergic infants,[118,119,122] and the Bifidobacterium species composition in allergic infants is more adult-like, being dominated by Bif. adolescentis.[98,125] The Bifidobacterium isolates from allergic infants have also been shown to be less adherent to intestinal mucus than isolates from healthy infants.[98] However, differences in the microbial ecology of healthy and allergic infants have only been investigated for a narrow range of organisms, and cause/effect links between these observed differences remain to be established. Significant differences were not observed in the Bifidobacterium populations of milkhypersensitive and healthy adults.[126] The size of the intestinal Bifidobacterium population has also been shown to be relatively small in subjects afflicted with inflammatory bowel disease (IBD),[127] irritable bowel syndrome (IBS),[128] and in elderly people with Clostridium difficile –associated diarrhea.[129] Direct cause/effect links between these diseases and a diminished bifidobacterial population remain to be established, but probiotic intervention may prove beneficial in the control of these conditions. Although the level of bifidobacteria in the feces of healthy adults is normally in the order of 109 bacteria/g,[80,81,85,89] it appears that a proportion of healthy adults have intestinal bifidobacterial populations several orders of magnitude lower.[89,102,130,131] It is yet to be determined how the total number of bifidobacteria within a stable microbiota influences the long-term health of the human host, and if in individuals with naturally low levels of bifidobacteria, other organisms with similar activities occupy the same niche. G.

How Do Antibiotics Affect the Bifidobacterium Population in the Gut?

Administration of certain antibiotics is well known to perturb the intestinal microbial population dynamics. The long-term effects on the composition of the bifidobacterial

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Hoang-Dung TRAN and friends microbiota following administration of antibiotics to which they are sensitive differs with the antibiotic used. Following 6 days of treatment with oral rifampicin and streptomycin, the Bifidobacterium strains collected in the dominant fecal microbiota of five human subjects were, in most cases, different from before treatment.[85] In contrast, 3 months after 8day treatment with oral amoxicillin-clavulanic acid (Augmentin), the bifidobacterial strain composition remained largely unchanged from before treatment.[85] The impact of antibiotics on the microbiota of children may be particularly critical if it impacts on immune development. Prolonged antibiotic treatment in early childhood has been significantly associated with a subsequent history of asthma.[132] Tannock[80] reported the results of a trial in which the composition of the intestinal microbiota of 10 children was examined before and after treatment with antibiotics. In 7 out of 10 children, antibiotic treatment resulted in a marked change in the level and species composition of the bifidobacterial population, as determined by genus-specific PCR-DGGE. Probiotic supplementation following antibiotic treatment may have a role in preserving correct immune development in infants in addition to maintaining colonization resistance.

H.

What Happens When Probiotic Bifidobacteria Are Introduced into the Intestinal Tract?

The theoretical bases for many of the anticipated probiotic effects of bifidobacteria rely on the bacteria being viable in the intestinal tract. Molecular strain fingerprinting techniques[18,114 – 116] and the use of antibiotic-resistant mutants[25,133] have enabled tracking of ingested strains within the complex intestinal microbiota. It is clear that selected probiotic bifidobacteria do survive transit through the stomach and small intestine and can be recovered in feces. In most cases the strain persists only transiently in the intestine,[18,25,46,114 – 116,133] but the duration of persistence in the intestinal tract is dependent on the individual and almost certainly the host – bacterial strain compatibility. Fujiwara et al.[133] recovered a strain of Bif. longum in the feces of some individuals up to 30 days after cessation of probiotic ingestion. Through investigations of colonic biopsies obtained during colonoscopies, von Wright et al.[25] determined that a probiotic Bif. infantis strain could be isolated from the mucosa throughout the length of the colon. One contentious question has been the importance of host specificity in probiotic function. Bif. lactis/animalis is the predominant Bifidobacterium species currently used in probiotic foods, but is not an autochthonous member of the human intestinal microbiota. It is also taxonomically distant from human intestinal species.[134] However, it adheres well to human intestinal mucus in vitro[97] and transiently colonizes the human intestinal tract following consumption.[18,114 – 116] Human intestinal species were shown to adhere better to human intestinal mucus than to bovine intestinal mucus,[97] but the question of the importance of mucosal adhesion and strain origin in colonization and probiotic activity of bifidobacteria remains unresolved. The impact of introducing probiotic bifidobacteria on the already resident intestinal Bifidobacterium population dynamic and on the composition of the wider bacterial community is of considerable interest. It would be undesirable for an introduced probiotic to perturb the resident microbiota. PCR-DGGE analysis of the intestinal microbiota of children before and after consumption of Bif. lactis for 12 weeks revealed no major disturbances of the dominant bacterial groups in the intestine.[18] Using genus-specific PCR-DGGE, Satokari et al.[115] also observed no effect on the qualitative composition of the indigenous Bifidobacterium population after consumption of Bif. lactis.

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Hoang-Dung TRAN and friends Malinen et al.[116] examined the same samples using PCR-ELISA and observed a decrease in Bif. longum numbers while Bif. lactis was present in the intestinal tract. Bif. longum numbers returned to normal following cessation of the probiotic feeding, which could suggest that Bif. lactis transiently supplanted a portion of the indigenous Bif. longum population. However, it appears that ingestion of Bif. lactis does not significantly alter the intestinal bifidobacterial population of healthy adults in the long term. Just as important as bacterium numbers are the biochemical and functional activities of probiotics within the intestinal tract and, most critically, their interaction with the host. Advances in functional genomics and investigation of in situ mRNA expression may provide insights into the activities of bifidobacteria within the intestinal tract. The genomes of Bif. breve and Bif. longum are now being sequenced,[135] and the genomics approach is beginning to yield information increasing our understanding of the physiology of these organisms.[136] Host responses to probiotics and their role in disease prevention are also being uncovered. An example is the induction of intestinal mucin gene expression in the cell lines HT-29 and Caco-2 by lactobacilli and the subsequent suppression of pathogen adhesion to the intestinal epithelial cells.[137,138] The unfolding genomics/proteomics revolution is set to dramatically accelerate our understanding of host-microbe interactions and provide new insights into probiotic mechanisms.

VII.

PREBIOTICS

The consumption of live bacteria is not the only strategy to increase the size of the Bifidobacterium population in the intestinal tract. Interest in bifidogenic factors developed from attempts to replicate the bifidogenic effect of human milk oligosaccharides in infant milk formulas. A number of nondigestible oligosaccharides have now been demonstrated to act as bifidogenic factors.[112] Since they promote the growth of probiotic bacteria, factors that specifically promote the growth or activity of probiotic organisms within the intestinal tract have been termed “prebiotics.”[113] There is an obvious synergy between probiotics and prebiotics, and products containing both have been called “synbiotics”.[113] There is now little doubt from the volume of animal and human studies investigating prebiotic effects that some indigestible oligosaccharides can induce a significant proliferation of bifidobacteria in the intestinal tract of individuals with initially low bifidobacterial numbers.[112,139] They are used, often in synbiotic combinations with bifidobacteria, in cow’s milk –based infant formulas[111] and may be useful in reinforcing bifidobacterial numbers in the elderly.[140] To date, the most consistent evidence accumulated for prebiotic effects has been for fructo-oligosaccharides, although galacto-, gluco-, xylo-, isomalto-, and soybean oligosaccharides have also been shown to increase colonic bifidobacterial numbers.[112] Bifidobacteria have themselves been exploited as a source of enzymes to synthesize NDOs with prebiotic effects.[78,141,142] Metabolic engineering of a b-galactosidase from Bif. bifidum substantially reduced hydrolytic activity.[142] The resulting enzyme had highly efficient galactosyltransferase activity and was able to channel carbon to galactooligosaccharide synthesis even at relatively low lactose concentrations. Bifidobacteria have also been used to produce synbiotic yogurt through de novo synthesis of galacto-oligosaccharides during milk fermentation.[78] In addition to oligosaccharides, some dietary fibers have been reported to have prebiotic potential.[112,117] These large, slowly fermented carbohydrates may have advantages over oligosaccharides by minimizing rapid gas formation in the gut and promoting fermentation more distally in the colon.

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Hoang-Dung TRAN and friends The ability of bifidobacteria to use a wide variety of oligosaccharides and other complex carbohydrates reflects their evolution in the hindgut of humans and animals where the ability to use a wide range of food- and host-derived complex carbohydrates and glycoproteins provides a competitive advantage. Genomic analysis of Bif. longum revealed a large number of proteins specialised for the catabolism of carbohydrates.[136] Another consequence of their evolution in an environment with limited availability of simple sugars is that many Bifidobacterium strains grow poorly using some monosaccharides, but grow well when supplied with oligosaccharides composed of those same sugars[39,117,143] (Fig. 3). This suggests that bifidobacteria lack transport mechanisms for these simple sugars and import oligosaccharides before hydrolysing and metabolising them.

VIII.

HEALTH EFFECTS OF PROBIOTIC BIFIDOBACTERIA

The theoretical benefits of probiotic bifidobacteria include both intestinal and systemic effects, mediated by modulating the functionality of the intestinal microbiota, the gut barrier, and/or the immune system of the host. Both therapeutic and prophylactic roles have been proposed and trailed in animal models and in humans. In the past few years, studies of the probiotic effects of bifidobacteria have been focused in four major areas: Modulation of the host immune system Resistance to infectious diseases Control of inflammatory bowel disease (IBD) Prevention of colorectal cancer Although suffering from many limitations in design and control, early studies at least provided indications that the theoretical benefits of consumption of probiotic bifidobacteria

Figure 3

Bifidobacteria are often able to use oligosaccharides as carbon and energy sources more efficiently than the monosaccharides from which the oligosaccharides are composed. This figure displays the growth yield of Bifidobacterium lactis following growth using various mono- and oligosaccharides. FOS ¼ fructo-oligosaccharides; XOS ¼ xylo-oligosaccharides. (Modified from Ref. 39.)

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Hoang-Dung TRAN and friends could be translated into observable health effects in the host. In recent years, an increasing number of studies have incorporated appropriate attention to the dose, stability, and functionality of the fed probiotic and good clinical design, including randomization of subjects, placebo controls, blinding, crossover of treatments, and meaningful health endpoints. It has now been conclusively demonstrated that some Bifidobacterium strains can survive intestinal transit and persist transiently within the colon.[18,25,46,114 – 116,133,144] Importantly, the strains used as probiotics to date appear to be safe. A few studies have provided measurable improvements in clinical endpoints and a demonstrable amelioration of disease symptoms in the case of atopic eczema in infants.[17,18] Importantly, we are now beginning to gain insights into some of the potential mechanisms of probiotic action by bifidobacteria.

A.

Immunomodulation

It is now well documented that probiotic bacteria can modulate both the humoral and cellular immunity of the host.[145,146] Both upregulation of immune protection against pathogens and cancer cells (Tables 2 and 3) and downregulation of aberrant inflammatory responses in allergy and IBD have been observed.[17,147] It is becoming increasingly apparent that modulation of the host immune system may contribute to, or even underpin, many of the health effects attributed to probiotics. 1. Amelioration of Allergy Symptoms The intestinal mucosal immune system in healthy individuals is able to create a balance between protective immunity against pathogens and tolerance to commensal bacteria and dietary antigens.[148] In atopic food allergy, the balance leading to tolerance is impaired and the immune system responds to the food antigen with an inflammatory response driven by a lymphocyte balance that is skewed towards type 2 T-helper cells (Th2).[119,149,150] It is now clear that the intestinal microbiota is essential for the development of oral tolerance in the neonate and that the type of bacteria present can influence the immune response and the development of immune homeostasis.[118,119,150 – 152] The discovery of the importance of the intestinal microbiota in the development of oral tolerance fueled speculation into a possible role for probiotics in the treatment and prevention of atopic disease. Differences have been observed between the composition of the intestinal microbiota in tolerant and atopic infants,[118 – 125] including a reduced number and adult-like species composition of bifidobacteria in allergic infants.[98,118,119,125] In perhaps the best demonstrations, so far, of clinically significant ameliorations of disease symptoms by probiotics, supplementations with Lactobacillus rhamnosus GG[147] or Bif. lactis Bb-12[17,18] proved effective in relieving atopic eczema in infants. The mechanism of action remains speculative and may be different for each strain. Both treatments resulted in deceased markers of inflammation and T-cell activation, but had different influences on serum transforming growth factor (TGF)-b (an anti-inflammatory cytokine) concentrations. Serum TGF-b increased it in the L. rhamnosus –treated atopic group, but decreased in the Bif. lactis group.[17] Bifidobacteria have been shown to elicit a type 1 T-helper cell (Th1) response, and the observed effect may be due to restoration of a tolerogenic Th1/Th2 balance mediated by interleukin (IL)-12[153] and possibly through induction of IL-10 –mediated downregulation of inflammation.[152] Bifidobacterium isolates from allergic infants generally failed to induce high levels of

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Table 2

In Vivo Studies Demonstrating Stimulation of Innate and Adaptive Immunity by Probiotic Bifidobacteria

Bifidobacterium

Model system

Effect of probiotic

Ref.

Bif. lactis HN019

Humans—healthy elderly. Bif. lactis in milk. Milk placebo.

Transient " CD4þ, CD25þ and NK cell proportions in blood. Transient " in phagocytic and tumor-cell killing activities.

[21,22]

Bif. lactis HN019

Humans—healthy adults and elderly. Bif. lactis in milk with or without oligosaccharides. Milk placebo. Double blind.

Transient " in phagocytic and NK cell activity in PBMCs. Synbiotic effect: the magnitude of the immune stimulation was larger in the group fed Bif. lactis þ galacto-oligosaccharides.

[20]

Bif. lactis HN019

Humans—healthy elderly. Bif. lactis in milk. Milk placebo. Randomised, double blind.

" IFN-a from mitogen stimulated PMBCs. " Phagocytic activity of PMBCs

[19]

Bif. lactis HN019

Mice. Bif. lactis in milk. Milk placebo.

" Phagocytic activity of peritoneal macrophages and blood leucocytes. " Humoral response to oral and injected toxin antigen. " Mitogeninduced T and B cell proliferation. " NK cell cytotoxic activity.

[165]

Bif. bifidum Bb-11

Mice. Bif. bifidum in PBS administered orogastrically. Free cells and encapsulated.

" Mucosal and systemic immune responses. " Total IgA and IgM synthesis by mesenteric lymph node and Peyer’s patch cells and " reactivity of these cells to TGF-b1 and IL-5. " Mucosal total IgA and IgA-secreting cells. Effect enhanced by encapsulation. Immunomodulatory activity was cell-associated and not secreted. No induction of specific Bif. bifidum antibody response.

[58]

Crittenden

Hoang-Dung TRAN and friends In Vivo Studies Demonstrating Protection Against Infections by Probiotic Bifidobacteria, and Potential Links to Immunological Mechanisms

Bifidobacterium

Pathogen

Model

Bif. breve YIT 4064

Influenza. Intranasal challenge following oral vaccination.

Mice. Pre-feeding of autolyzed and heat-treated probiotic prior to challenge. Placebo, orally vaccinated mice without probiotic. Mice. Probiotic supplementation for 7 days prior to and after oral E. coli challenge. Control with no probiotic.

Bif. lactis HN019

E. coli 0157:H7

Bif. lactis HN019

E.coli and rotavirus

Piglets. Daily oral probiotic supplementation vs. no probiotic control. Naturally acquired infections. Monitoring of E. coli and rotavirus shedding.

Bif. lactis HN019

Salmonella enterica serovar Typhimurium

Mice. Single and multiple oral pathogen challenge. Low and high pathogen dose. Pre- and post-challenge administration of the probiotic. Non-infected control.

Bif. lactis Bb-12

Diarrhea in children

Healthy children. Double-blind, placebo controlled. Twice daily dose for 12 weeks.

Bif. breve YIT 4064

Rotavirus

Bif. bifidum and Bif. infantis

Rotavirus

Infants in an institution. Daily consumption or probiotic for 28 days. Mice. Probiotics with or without prebiotics. Control.

Effect of probiotic

Ref.

" Protection against influenza infection. " IgG to influenza.

[167]

" Protection against E. coli. # Morbidity and symptoms. " Phagocytic activity and E.coli-specific sIgA. # E. coli translocation. # Diarrhea. " Feed conversion efficiency. # Rotavirus and E. coli shedding. " Blood leucocyte phagocytic activity and T cell proliferative response. " Pathogenspecific intestinal antibody levels. " Protection against low and high pathogen dose. # Pathogen translocation to liver and spleen. " Blood leucocyte phagocytic activity and T cell proliferative response. " Pathogen-specific intestinal and systemic antibody levels. Indication of reduction in duration of diarrhea. No impact on incidence, which was low in both treatment and control groups. # Rotavirus shedding. " Intestinal rotavirus-specific IgA " Delay in onset, # duration, and # severity of symptoms. No " in effectiveness by prebiotics. " Intestinal and systemic rotavirus-specific IgA.

[162]

[166]

An Update on Probiotic Bifidobacteria

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Table 3

[170]

[18]

[164] [163]

141

142

Crittenden

Hoang-Dung TRAN and friends IL-10 when used to stimulate macrophages in vitro. In contrast, strains isolated from healthy infants did induce IL-10.[154,155] Interestingly, none of the Bif. adolescentis strains, a species usually associated with adult intestinal microbiota but also found in atopic infants,[98,125] induced IL-10.[154,155] The window of opportunity for intervening in atopy development though probiotic supplementation may be limited to very early childhood when the immune system and microbiota are still maturing. As mentioned previously, the adult microbiota is relatively stable and probiotics may not be capable of significantly impacting the population dynamics to a degree necessary to correct immune deviation in a mature immune system. Limited attempts have been undertaken to test probiotics in adults with milk allergy, but without success.[18] This may have also been due to adult milk hypersensitivity predominantly being driven by mechanisms other than IgE-mediated reactions with Th2-skewed immunity.[156 – 158] Indications of a clinical benefit in adults with allergic rhinitis have been observed in individuals fed probiotic yogurt containing a Bifidobacterium strain and Lactobacillus acidophilus. This was linked to an increase in interferon (IFN)-g secretion by peripheral blood mononuclear cells in the yogurt group, providing indications of an increased Th1 response.[159] The role of the intestinal microbiota in immune development and the use of probiotics for the alleviation of allergy symptoms are now burgeoning areas of research.

2. Stimulation of Innate Immunity Stimulation of the immune system provides the host with increased ability to fight infections and cancer. The ability of probiotic bacteria to modulate humoral and cellular immunity at the mucosal and systemic level has been established in animal and human studies.[145,148,160,161] Importantly, probiotic lactobacilli and bifidobacteria do not elicit inflammatory responses that could be harmful, but rather transient modifications of immune responsiveness beneficial to the host. Recent in vivo studies of immune stimulation by bifidobacteria are displayed in Table 2. The immune-modulation effects that have been observed for bifidobacteria include: Increased mucosal IgA production[58,145,162 – 164] Stimulation of phagocytic activity of mononuclear cells[19,21,22,165,166] Stimulation of natural killer (NK) cell activity[20 – 22,165] Increased lymphocyte responsiveness to oral and systemic challenge antigen [145,162,167] In vitro studies have provided further insights into immunomodulation by bifidobacteria. Evidence of strain and species variability in immune effects is demonstrated by the strong differences in cytokine responses they elicit.[154,155] Hence, careful screening and selection of the most appropriate strains to elicit the desired type of immune response for the targeted health effect is essential. The importance of probiotic adhesion to the intestinal mucosa in immune modulation is still poorly understood. Importantly, it appears that adhesion of bifidobacteria to intestinal epithelial cells does not induce undesirable inflammatory responses.[168] B.

Increasing Resistance to Infections

Evidence that probiotics can increase resistance to intestinal pathogens continues to accumulate, with the best protective effects seen to date in human trials for children

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Hoang-Dung TRAN and friends with rotavirus diarrhea.[169] The majority of human probiotic studies conducted so far have tested the effects of probiotic lactobacilli. However, a number of recent trials in animal pathogen challenge models and in humans indicate that probiotic bifidobacteria may also afford some protection against enteropathogens (Tables 3 and 4). Several potential mechanisms have been proposed for improved resistance to infections, and those with preliminary evidence from in vitro and animal studies include:

Stimulation of the host immune system[163,166,167,170] Induction of nonimmune host responses such as increasing intestinal mucus production[138] or reducing toxin receptor expression[171] Inhibition of pathogens by specific antimicrobials[172 – 176] Inhibition of pathogens by metabolic end products[176 – 178] Competitive exclusion and inhibition of pathogen mucosal adhesion[176,179 – 182] Suppression of pathogen translocation or cell invasion[176,183 – 185] Binding or inactivation of pathogen toxins[171] Recent in vivo studies attempting to link increased resistance to infections to probiotic mechanisms are shown for immune modulation in Table 3 and pathogen inhibition and colonization resistance in Table 4. Human studies investigating the application of probiotic bifidobacteria against rotavirus diarrhea in young children have provided indications that some strains may be protective.[18,164] Results from rodent pathogen challenge models are encouraging, though they are only loose models of human infections. Conclusive evidence of clinically significant protection by bifidobacteria to bacterial pathogens remains to be demonstrated in humans.

C.

Maintaining Remission in Inflammatory Bowel Disease

IBD is a group of disorders characterized by chronic, relapsing intestinal inflammation that include Crohn’s disease, ulcerative colitis, and pouchitis.[186] A genetic predisposition is recognized, but the etiology remains unknown.[127] The dominant theory, supported by experimental and clinical evidence, is that the inflammation results from a breakdown in normal immune tolerance to components (so far unidentified) of the intestinal microbiota.[127,186] Current steroidal therapies often elicit significant side effects, and since probiotics can modulate both the intestinal immune system and the intestinal microbiota, their application in control of these diseases has been investigated. A probiotic mixture (VSL#3), which contained three strains of bifidobacteria in addition to lactobacilli and Streptococcus thermophilus, was trailed in a randomized, double-blind, placebo-controlled trial of 40 patients with chronic pouchitis.[24] Patients in clinically demonstrated remission were treated with the probiotic or placebo for a period of 9 months and were regularly clinically assessed. Bacteriological analysis demonstrated recovery of the probiotics in feces of the treatment group. The probiotic preparation showed a clear benefit, with only 15% of the probiotic group relapsing compared to 100% in the control group ( p , 0.001). It is impossible to isolate the role that the bifidobacteria played in this effect. However, a bifidobacteria-fermented milk has now been trailed individually in ulcerative colitis patients with positive effects in a randomized, controlled trial.[26] No adverse effects were observed in these trials indicating that bifidobacteria can be safely used in IBD. It seems likely that selected Bifidobacterium strains will prove able to provide clinically significant benefits in the maintenance of remission.

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Table 4

In Vivo Studies Demonstrating Protection Against Infections by Probiotic Bifidobacteria, and Potential Links to Pathogen Inhibition or Colonization

Resistance Bifidobacterium

Pathogen

Model

Outcome of probiotic

Ref.

Inhibition of toxin binding to receptor by direct binding to toxin by a soluble factor produced by the probiotic and reduced expression of the toxin receptor in renal cells of the mice. # Pathogen colonization and complete block of translocation. Effect " in synbiotic. Correlation of protection to " organic acid synthesis and # intestinal pH. # Intestinal colonization by pathogen and # symptoms of infection.

[171]

E. coli 0157:H7 vero cyclotoxin

Mice—oral challenge with E. coli. Treatment group dosed intragastrically with Bif. longum supernatant before and after challenge. Control—no supernatant.

Bif. breve (Yakult)

Salmonella enterica serovar Typhimurium

Mice—oral pathogen challenge post colonization with Bif. breve. Control—no probiotic. Synbiotic galacto-oligosaccharide.

Bif. animalis and Bif. spp.LaftiTM B22, B74, B97. Bif. spp. (CA1 and F9) isolated from infant stools.

Salmonella enterica serovar Typhimurium

Mice—oral pathogen challenge and simultaneous and post challenge administration of probiotics. Germ-free mice. Inoculated with bifidobacteria 1 week before oral pathogen challenge.

Bif. infantis

Necrotizing enterocolitis (NE)

NE rat model. Probiotic vs. controls of E. coli fed and saline fed animals.

Bif. bifidum. DVS

Salmonella enterica serovar Typhimurium

Conventional and gnotobiotic mice orogastric pathogen challenge. Preand post-challenge probiotic administration. Control.

Salmonella enterica serovar Typhimurium

# Morbidity. Antagonism of S. enterica in vitro by lipophilic extracellular molecule(s) ,3500Da produced by the bifidobacteria. Colonization by Bif. infantis. # NE incidence and symptom severity. " Survival. # Morbidity and pathology in both models. No difference in intestinal colonization of pathogen between treatment and control groups.

[178]

[174]

[173]

[182]

[183] Crittenden

Bif. longum HY8001 (extracellular toxin binding molecule)

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D.

Anticancer Effects

Anticancer effects remain perhaps the most controversial potential health benefit of probiotic bifidobacteria. To date, there is no direct experimental evidence for cancer suppression in humans as a result of probiotic consumption. However, there are indications from in vitro, animal, and human studies that bifidobacteria may contribute to maintaining a colonic environment and host immune system oriented to reduced cancer risk. Possible mechanisms by which probiotics may suppress cancer development are discussed by Reddy[187] and Rafter,[188] and include: Stimulation of the host’s innate immune system Limitation of genotoxic reactions by the intestinal microbiota Alteration of physicochemical conditions in the colon Adsorption or degradation of potential carcinogens Nourishment of the intestinal epithelium with macro and micronutrients Production of antitumorigenic or antimutagenic compounds Stimulation of tumoricidal activity has been observed in ex vivo examination of NK cells from humans fed with probiotic bifidobacteria.[20 – 22,165] However, direct links between Bifidobacterium-induced immune stimulation and cancer suppression in humans are yet to be demonstrated. Reduced fecal mutagenicity has been demonstrated in rodent models and in humans fed bifidobacteria,[189,190] and mutagen binding to Bifidobacterium cells has been observed in vitro.[191] A number of studies have investigated the suppressive effects of bifidobacteria on tumorigenesis using carcinogen-induced rodent colon cancer models, with varying results. Some demonstrated strong suppressive effects,[187,190] while others were neutral.[192 – 194] These variations were possibly due to differences in the Bifidobacterium strain and/or the models used. Applying prebiotics in combination with bifidobacteria (synbiotics) appears to enhance anticancer effects in the rodent models.[192,194] Further research is required to link purported mechanisms of probiotic action to cancer-suppressing effects in vivo.

E.

Genetically Modified Bifidobacteria in Anticancer Gene Therapy

Though not a probiotic effect, an interesting new application of bifidobacteria is their potential use as targeted vectors to deliver gene therapy to solid hypoxic tumors. The oxygen partial pressure is lower in these tumors than in normal tissues. It has been observed that bifidobacteria injected intravenously in mice selectively germinate and grow in the hypoxic regions of the tumors and not in other tissues.[195] Yazawa et al.[196] demonstrated that a strain of Bif. longum injected intravenously into a rodent breast cancer model specifically localized in the tumors. A follow-up study showed that when the strain was genetically modified to synthesize an enzyme able to activate an antitumor drug, the enzyme was expressed only within the tumor.[197] A separate group demonstrated similar results with a Bif. adolescentis strain engineered to produce an antiangiogenic drug. When injected intravenously into mice with solid tumors, the bifidobacteria selectively colonized in the tumors, expressed the anticancer drug, and inhibited tumor growth.[198] This represents an exciting new application of bifidobacteria, exploiting these organisms’ physiology, safety, and amenability to genetic transformation to provide vectors for targeted gene therapy.

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IX.

CONCLUSIONS

It is now clear that strains of probiotic bifidobacteria can survive passage through the upper gastrointestinal tract and transiently colonize the colon. Evidence continues to accumulate that certain strains can provide measurable and clinically relevant benefits to human health. The best demonstrations of health benefits thus far reported are for treatment of eczema in allergic infants and for the maintenance of remission in IBD. Some advances have been made towards elucidating possible mechanisms of probiotic action, and modulation of the host immune system is emerging as a key element in many of the beneficial effects seen to date. It is becoming apparent that the age of the host, stability of the microbiota, and maturity of the immune system may have a dramatic influence on some probiotic effects. The role of the microbiota in healthy immune development in infants and possible effects on allergy will be a major focus for research into probiotic bifidobacteria in the short term. Perhaps lagging in comparison to the pace of advances in other areas of probiotic research are technological solutions to maintaining the stable functionality of environmentally sensitive strains. The application of bifidobacteria in functional foods remains largely limited to fermented dairy products. Technologies are needed to broaden the application of these functional ingredients to a wider range of products, including nonrefrigerated, long shelf-life foods. Marked progress has been made in our understanding of the population dynamics of bifidobacteria, facilitated by the shift away from culture-based, phenotypic methods towards culture-independent, molecular techniques. However, we are still only at the very beginning of developing an appreciation of the functional relationships between the microbiota and the host in health and disease. An understanding of these relationships is essential to elucidating probiotic mechanisms and is needed to allow scientifically based selection of appropriate probiotic stains. Importantly, uncovering mechanisms of action will add scientific weight to the observed clinical effects. The application of high-throughput functional genomics to the study of host-microbe interactions promises to provide dramatic advances in our understanding of the role, and potential applications, of bifidobacteria in human health. The once theoretical positive impacts on health for probiotics are beginning to be backed by hard scientific data, and with the burgeoning development of new molecular technologies, the pace of scientific research into the roles of bifidobacteria in human health will no doubt accelerate.

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Hoang-Dung TRAN and friends 6. Jian, W.Y.; Dong, X.Z. Transfer of Bifidobacterium incipinatum and Bifidobacterium denticolens to Scardovia inopinata gen. nov., comb. nov., and Parascardovia denticolens gen. nov., comb. nov., respectively. Int. J. Syst. Evol. Microbiol. 2002, 52, 809 – 812. 7. Dong, X.Z.; Xin, Y.H.; Jian, W.Y.; Liu, X.L.; Ling, D.W. Bifidobacterium thermacidophilum sp nov., isolated from an anaerobic digester. Int. J. Syst. Evol. Microbiol. 2000, 50, 119 – 125. 8. O’brien, J.; Crittenden, R.; Ouwerhand, A.C.; Salminen, S. Safety evaluation of probiotics. Trends Food Sci. Technol. 1999, 10, 418 – 424. 9. Klein, G.; Pack, A.; Bonaparte, C.; Reuter, G. Taxonomy and physiology of probiotic lactic acid bacteria. Int. J. Food Microbiol. 1998, 41, 103 – 125. 10. Hamilton-Miller, J.M.; Shah, S.; Winkler, J.T. Public health issues arising from microbiological and labelling quality of foods and supplements containing probiotic microorganisms. Public Health Nutr. 1999, 2, 223– 229. 11. Fasoli, S.; Marzotto, M.; Rizzotti, L.; Rossi, F.; Dellaglio, F.; Torriani, S. Bacterial composition of commercial probiotic products as evaluated by PCR-DGGE analysis. Int. J. Food Microbiol. 2003, 82, 59– 70. 12. Hamilton-Miller, J.M.T.; Shah, S. Deficiencies in microbiological quality and labelling of probiotic supplements. Int. J. Food Microbiol. 2002, 72, 175 – 176. 13. Weese, J.S. Microbiologic evaluation of commercial probiotics. J. Am. Vet. Med. Assoc. 2002, 220, 794– 797. 14. Weese, J.S.; Arroyo, L. Bacteriological evaluation of dog and cat diets that claim to contain probiotics. Can. Vet. J. 2003, 44, 212– 216. 15. Ventura, M.; Zink, R. Rapid identification, differentiation, and proposed new taxonomic classification of Bifidobacterium lactis. Appl. Environ. Microbiol. 2002, 68, 6429– 6434. 16. Mogensen, G.; Salminen, S.; O’Brien, J.; Ouwehand, A.; Holzapfel, W.; Shortt, C.; Fonde´n, R.; Miller, G.D.; Donohue, D.; Playne, M.; Crittenden, R.; Bianchi-Salvadori, B.; Zink, R. Inventory of microorganisms with a documented history in food. Bull. IDF 2002, 377, 10–19. 17. Isolauri, E.; Arvola, T.; Sutas, Y.; Moilanen, E.; Salminen, S. Probiotics in the management of atopic eczema. Clin. Exp. Allergy 2000, 30, 1604– 1610. 18. Mattila-Sandholm, T.; Blum, S.; Collins, J.K.; Crittenden, R.; de Vos, W.; Dunne, C.; Fonde´n, R.; Grenov, B.; Isolauri, E.; Kiely, B.; Marteau, P.; Morelli, L.; Ouwehand, A.; Reniero, R.; Saarela, M.; Salminen, S.; Saxelin, M.; Schiffrin, E.; Shanahan, F.; Vaughan, E.; von Wright, A. Probiotics: towards demonstrating efficacy. Trends Food Sci. Technol. 1999, 10, 393– 399. 19. Arunachalam, K.; Gill, H.S.; Chandra, R.K. Enhancement of natural immune function by dietary consumption of Bifidobacterium lactis (HN019). Eur. J. Clin. Nutr. 2000, 54, 263–267. 20. Chiang, B.L.; Sheih, Y.H.; Wang, L.H.; Liao, C.K.; Gill, H.S. Enhancing immunity by dietary consumption of a probiotic lactic acid bacterium (Bifidobacterium lactis HN019): optimization and definition of cellular immune responses. Eur. J. Clin. Nutr. 2000, 54, 849 – 855. 21. Gill, H.S.; Rutherfurd, K.J.; Cross, M.L. Dietary probiotic supplementation enhances natural killer cell activity in the elderly: an investigation of age-related immunological changes. J. Clin. Immunol. 2001, 21, 264– 271. 22. Gill, H.S.; Rutherfurd, K.J.; Cross, M.L.; Gopal, P.K. Enhancement of immunity in the elderly by dietary supplementation with the probiotic Bifidobacterium lactis HN019. Am. J. Clin. Nutr. 2001, 74, 833– 839. 23. Venturi, A.; Gionchetti, P.; Rizzello, F.; Johansson, R.; Zucconi, E.; Brigidi, P.; Matteuzzi, D.; Campieri, M. Impact on the composition of the faecal flora by a new probiotic preparation: preliminary data on maintenance treatment of patients with ulcerative colitis. Aliment. Pharmacol. Ther. 1999, 13, 1103– 1108. 24. Gionchetti, P.; Rizzello, F.; Venturi, A.; Brigidi, P.; Matteuzzi, D.; Bazzocchi, G.; Poggioli, G.; Miglioli, M.; Campieri, M. Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial. Gastroenterology 2000, 119, 305 – 309.

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Mack, D.R.; Michail, S.; Wei, S.; McDougall, L.; Hollingsworth, M.A. Probiotics inhibit enteropathogenic E. coli adherence in vitro by inducing intestinal mucin gene expression. Am. J. Physiol. 1999, 276, G941 – G950. Mattar, A.; Teitelbaum, D.H.; Drongowski, R.A.; Yongyi, F.; Harmon, C.M.; Coran, A.G. Probiotics up-regulate MUC-2 mucin gene expression in a Caco-2 cell-culture model. Pediatr. Surg. Int. 2002, 18, 586 – 590. Cummings, J.H.; Macfarlane, G.T. Gastrointestinal effects of prebiotics. Br. J. Nutr. 2002, 87, S145– S151. Guigoz, Y.; Rochat, F.; Perruisseau-Carrier, G.; Rochat, I.; Schiffrin, E.J. Effects of oligosaccharide on the faecal flora and non-specific immune system in elderly people. Nutr. Res. 2002, 22, 13– 25. Hung, M.N.; Lee, B.H. Purification and characterization of a recombinant beta-galactosidase with transgalactosylation activity from Bifidobacterium infantis HL96. Appl. Microbiol. Biotechnol. 2002, 58, 439– 445. Jorgensen, F.; Hansen, O.C.; Stougaard, P. High-efficiency synthesis of oligosaccharides with a truncated beta-galactosidase from Bifidobacterium bifidum. Appl. Microbiol. Biotechnol. 2001, 57, 647– 652. Hopkins, M.J.; Cummings, J.H.; Macfarlane, G.T. Inter-species differences in maximum specific growth rates and cell yields of bifidobacteria cultured on oligosaccharides and other simple carbohydrate sources. J. Appl. Microbiol. 1998, 85, 381 – 386. Brigidi, P.; Swennen, E.; Vitali, B.; Rossi, M.; Matteuzzi, D. PCR detection of Bifidobacterium strains and Streptococcus thermophilus in feces of human subjects after oral bacteriotherapy and yogurt consumption. Int. J. Food Microbiol. 2003, 81, 203 – 209. Isolauri, E. Immune effects of probiotics. In: Probiotics, Other Nutritional Factors, and Intestinal Microflora; Hanson, L.A., Yolken, R.H., Eds.; Lippincott-Raven Publishers: Philadelphia, 1999; 229– 241. Saavedra, J.M.; Tschernia, A. Human studies with probiotics and prebiotics: clinical implications. Br. J. Nutr. 2002, 87 (Suppl 2), S241 – S246. Kallioma¨ki, M.; Salminen, S.; Arvilommi, H.; Kero, P.; Koskinen, P.; Isolauri, E. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet 2001, 357, 1076– 1079. Sartor, R.B. Induction of mucosal immune responses by bacteria and bacterial components. Curr. Opin. Gastroenterol. 2001, 17, 555 – 561. Prescott, S.L.; Macaubas, C.; Smallacombe, T.; Hol, B.J.; Sly, P.D.; Holt, P.G. Development of allergen-specific T-cell memory in atopic and normal children. Lancet 1999, 353, 196– 200. Holt, P.G.; Sly, P.D.; Bjo¨rkste´n, B. Atopic versus infectious diseases in childhood: a question of balance? Pediatr. Allergy Immunol. 1998, 8, 53 –58. Hessle, C.; Andersson, B.; Wold, A.E. Gram-positive bacteria are potent inducers of monocytic interleukin-12 (IL-12) while gram-negative bacteria preferentially stimulate IL-10 production. Infect. Immun. 2000, 68, 3581– 3586. Schiffrin, E.J.; Blum, S. Interactions between the microbiota and the intestinal mucosa. Eur. J. Clin. Nutr. 2002, 56 (Suppl 3), S60– S64. Karlsson, H.; Hessle, C.; Rudin, A. Innate immune responses of human neonatal cells to bacteria from the normal gastrointestinal flora. Infect. Immun. 2002, 70, 6688– 6696. He, F.; Morita, H.; Ouwehand, A.C.; Hosoda, M.; Hiramatsu, M.; Kurisaki, J.; Isolauri, E.; Benno, Y.; Salminen, S. Stimulation of the secretion of pro-inflammatory cytokines by Bifidobacterium strains. Microbiol. Immunol. 2002, 46, 781 – 785. He, F.; Morita, H.; Hashimoto, H.; Hosoda, M.; Kurisaki, J.I.; Ouwehand, A.C.; Isolauri, E.; Benno, Y.; Salminen, S. Intestinal Bifidobacterium species induce varying cytokine production. J. Allergy Clin. Immunol. 2002, 109, 1035– 1036.

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Pelto, L.; Laitinen, I.; Lilius, E-M. Current perspectives on milk hypersensitivity. Trends Food Sci. Technol. 1999, 10, 229–233. Pelto, L.; Impivaara, O.; Salminen, S.; Poussa, T.; Seppa¨nen, R.; Lilius, E-M. Milk hypersensitivity in young adults. Eur. J. Clin. Nutr. 1999, 53, 620 – 624. Woods, R.K.; Thien, F.; Raven, J.; Walters, A.H.; Abramson, M.A. Prevalence of food allergies in young adults and their relationship to asthma, nasal allergies, and eczema. Ann. Allergy Asthma. Immunol. 2002, 88, 183 – 189. Aldinucci, C.; Bellussi, L.; Monciatti, G.; Passali, G.C.; Salerni, L.; Passali, D.; Bocci, V. Effects of dietary yoghurt on immunological and clinical parameters of rhinopathic patients. Eur. J. Clin. Nutr. 2002, 56, 1155– 1161. Perdigo´n, G.; Galdeano, C.M.; Valdez, J.C.; Medici, M. Interaction of lactic acid bacteria with the gut immune system. Eur. J. Clin. Nutr. 2002, 56 (Suppl 4), S21– S26. Shciffrin, E.J.; Brassart, D.; Servin, A.L.; Rochart, F.; Donnet-Hughes, A. Immune modulation of blood leucocytes in humans by lactic acid bacteria: criteria for strain selection. Am. J. Clin. Nutr. 1997, 66, S515– S5120. Shu, Q.; Gill, H.S. A dietary probiotic (Bifidobacterium lactis HN019) reduces the severity of Escherichia coli O157:H7 infection in mice. Med. Microbiol. Immunol. 2001, 189, 147 – 152. Qiao, H.P.; Duffy, L.C.; Griffiths, E.; Dryja, D.; Leavens, A.; Rossman, J.; Rich, G.; Riepenhoff-Talty, M.; Locniskar, M. Immune responses in rhesus rotavirus-challenged balb/c mice treated with bifidobacteria and prebiotic supplements. Pediatr. Res. 2002, 51, 750 – 755. Araki, T.; Shinozaki, T.; Irie, Y.; Miyazawa, Y. Trial of oral administration of Bifidobacterium breve for the prevention of rotavirus infection. J. Jpn Assoc. Infect. Dis. 1999, 73, 305– 310. Gill, H.S.; Rutherfurd, K.J.; Prasad, J.; Gopal, P.K. Enhancement of natural and acquired immunity by Lactobacillus rhamnosus (HN001), Lactobacillus acidophilus (HN017) and Bifidobacterium lactis (HN019). Br. J. Nutr. 2000, 83, 167 – 176. Shu, Q.; Qu, F.; Gill, H.S. Probiotic treatment using Bifidobacterium lactis HN019 reduces weanling diarrhea associated with rotavirus and Escherichia coli infection in a piglet model. J. Pediatr. Gastroenterol. Nutr. 2001, 33, 171 – 177. Yasui, H.; Kiyoshima, J.; Hori, T.; Shida, K. Protection against influenza virus infection of mice fed Bifidobacterium breve YIT4064. Clin. Diagn. Lab. Immunol. 1999, 6, 186 – 192. Morita, H.; He, F.; Fuse, T.; Ouwehand, A.C.; Hashimoto, H.; Hosoda, M.; Mizumachi, K.; Kurisaki, J.I. Adhesion of lactic acid bacteria to Caco-2 cells and their effect on cytokine secretion. Microbiol. Immunol. 2002, 46, 293 – 297. Van Neil, C.W.; Feudtner, C.; Garrison, M.M.; Christakis, D.A. Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis. Pediatrics 2002, 109, 678 – 682. Shu, Q.; Lin, H.; Rutherfurd, K.J.; Fenwick, S.G.; Prasad, J.; Gopal, P.K.; Gill, H.S. Dietary Bifidobacterium lactis (HN019) enhances resistance to oral Salmonella typhimurium infection in mice. Microbiol. Immunol. 2000, 44, 213 – 222. Kim, S.H.; Yang, S.J.; Koo, R.C.; Bae, W.K.; Kim, J.Y.; Park, J.H.; Baek, Y.J.; Park, Y.H. Inhibitory activity of Bifidobacterium longum HY8001 against vero cytotoxin of Escherichia coli O157:H7. J. Food Prot. 2001, 64, 1667– 1673. Khedkar, J.N.; Dave, J.M.; Sannabhadti, S.S. Antibacterial activity associated with Bifidobacterium adolescentis. J. Food Sci. Technol. 1998, 35, 527 – 529. Lievin, V.; Peiffer, I.; Hudault, S.; Rochat, F.; Brassart, D.; Neeser, J.R.; Servin, A.L. Bifidobacterium strains from resident infant human gastrointestinal microflora exert antimicrobial activity. Gut 2000, 47, 646– 652. Henriksson, A.; Conway, P.L. Isolation of human faecal bifidobacteria which reduce signs of Salmonella infection when orogastrically dosed to mice. J. Appl. Microbiol. 2001, 90, 223 – 228.

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Bruno, F.A.; Shah, N.P. Inhibition of pathogenic and putrefactive microorganisms by Bifidobacterium sp. Milchwissenschaft. 2002, 57, 617 – 621. Gopal, P.K.; Prasad, J.; Smart, J.; Gill, H.S. In vitro adherence properties of Lactobacillus rhamnosus DR20 and Bifidobacterium lactis DR10 strains and their antagonistic activity against an enterotoxigenic Escherichia coli. Int. J. Food Microbiol. 2001, 67, 207 – 216. Yusof, R.M.; Haque, F.; Ismail, M.; Hassan, Z. Isolation of Bifidobacterium infantis and its antagonistic activity against ETEC 0157 and Salmonella typhimurium S-285 in weaning foods. Asia Pacific J. Clin. Nutr. 2000, 9, 130 – 135. Asahara, T.; Nomoto, K.; Shimizu, K.; Watanuki, M.; Tanaka, R. Increased resistance of mice to Salmonella enterica serovar Typhimurium infection by synbiotic administration of Bifidobacteria and transgalactosylated oligosaccharides. J. Appl. Microbiol. 2001, 91, 985– 996. Fujiwara, S.; Hashiba, H.; Hirota, T.; Forstner, J.F. Purification and characterization of a novel protein produced by Bifidobacterium longum SBT2928 that inhibits the binding of enterotoxigenic Escherichia coli Pb176 (CFA/II) to gangliotetraosylceramide. J. Appl. Microbiol. 1999, 86, 615–621. Fujiwara, S.; Hashiba, H.; Hirota, T.; Forstner, J.F. Inhibition of the binding of enterotoxigenic Escherichia coli Pb176 to human intestinal epithelial cell line HCT-8 by an extracellular protein fraction containing BIF of Bifidobacterium longum SBT2928: suggestive evidence of blocking of the binding receptor gangliotetraosylceramide on the cell surface. Int. J. Food Microbiol. 2001, 67, 97–106. Zoppi, G.; Cinquetti, M.; Benini, A.; Bonamini, E.; Minelli, E.B. Modulation of the intestinal ecosystem by probiotics and lactulose in children during treatment with ceftriaxone. Curr. Ther. Res. Clin. Exp. 2001, 62, 418 – 435. Caplan, M.S.; Miller-Catchpole, R.; Kaup, S.; Russell, T.; Lickerman, M.; Amer, M.; Xiao, Y.; Thomson, R. Bifidobacterial supplementation reduces the incidence of necrotizing enterocolitis in a neonatal rat model. Gastroenterology 1999, 117, 577 – 583. Silva, A.M.; Bambirra, E.A.; Oliveira, A.L.; Souza, P.P.; Gomes, D.A.; Vieira, E.C.; Nicoli, J.R. Protective effect of bifidus milk on the experimental infection with Salmonella enteritidis subsp. typhimurium in conventional and gnotobiotic mice. J. Appl. Microbiol. 1999, 86, 331– 336. Bibiloni, R.; Fernando, P.; De Antoni, G.L. Will a high adhering capacity in a probiotic strain guarantee exclusion of pathogens from intestinal epithelia. Anaerobe 1999, 5, 519 – 524. Eizaguirre, I.; Urkia, N.G.; Asensio, A.B.; Zubillaga, I.; Zubillaga, P.; Vidales, C.; GarciaArenzana, J.M.; Aldazabal, P. Probiotic supplementation reduces the risk of bacterial translocation in experimental short bowel syndrome. J. Pediatr. Surg. 2002, 37, 699 – 702. Marteau, P.R. Probiotics in clinical conditions. Clin. Rev. Allergy Immunol. 2002, 22, 255– 273. Reddy, B.S. Possible mechanisms by which pro- and prebiotics influence colon carcinogenesis and tumor growth. J. Nutr. 1999, 129, 1478S– 1482S. Rafter, J. Lactic acid bacteria and cancer: mechanistic perspective. Br. J. Nutr. 2002, 88 (Suppl 1), S89– S94. Matsumoto, M.; Ohishi, H.; Benno, Y. Impact of LKM512 yogurt on improvement of intestinal environment of the elderly. FEMS Immunol. Med. Microbiol. 2001, 31, 181 – 186. Tavan, E.; Cayuela, C.; Antoine, J.M.; Cassand, P. Antimutagenic activities of various lactic acid bacteria against food mutagens: heterocyclic amines. J. Dairy Res. 2002, 69, 335 – 341. Lo, P.R.; Yu, R.C.; Chou, C.C.; Tsai, Y.H. Antimutagenic activity of several probiotic bifidobacteria against benzo[a]pyrene. J. Biosci. Bioeng. 2002, 94, 148 – 153. Gallaher, D.D.; Khil, J. The effect of synbiotics on colon carcinogenesis in rats. J. Nutr. 1999, 129, 1483S – 1487S.

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Bolognani, F.; Rumney, J.C.; Pool-Zobel, B.L.; Rowland, I.R. Effect of lactobacilli, bifidobacteria and inulin on the formation of aberrant crypt foci in rats. Eur. J. Nutr. 2001, 40, 293 – 300. Femia, A.P.; Luceri, C.; Dolara, P.; Giannini, A.; Biggeri, A.; Salvadori, M.; Clune, Y.; Collins, J.K.; Paglierani, M.; Caderni, G. Antitumorigenic activity of the prebiotic inulin enriched with oligofructose in combination with the probiotics Lactobacillus rhamnosus and Bifidobacterium lactis on azoxymethane-induced colon carcinogenesis in rats. Carcinogenesis 2002, 23, 1953– 1960. Yazawa, K.; Fujimori, M.; Amano, J.; Kano, Y.; Taniguchi, S. Bifidobacterium longum as a delivery system for cancer gene therapy: selective localization and growth in hypoxic tumors. Cancer Gene Ther. 2000, 7, 269– 274. Yazawa, K.; Fujimori, M.; Nakamura, T.; Sasaki, T.; Amano, J.; Kano, Y.; Taniguchi, S. Bifidobacterium longum as a delivery system for gene therapy of chemically induced rat mammary tumors. Breast Cancer Res. Treatment 2001, 66, 165 – 170. Nakamura, T.; Sasaki, T.; Fujimori, M.; Yazawa, K.; Kano, Y.; Amano, J.; Taniguchi, S. Cloned cytosine deaminase gene expression of Bifidobacterium longum and application to enzyme/pro-drug therapy of hypoxic solid tumors. Biosci. Biotechnol. Biochem. 2002, 66, 2362– 2366. Li, X.; Fu, G.F.; Fan, Y.R.; Liu, W.H.; Liu, X.J.; Wang, J.J.; Xu, G.X. Bifidobacterium adolescentis as a delivery system of endostatin for cancer gene therapy: selective inhibitor of angiogenesis and hypoxic tumor growth. Cancer Gene Ther. 2003, 10, 105 – 111.

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Hoang-Dung TRAN and friends

4 The Probiotic Potential of Propionibacteria ARTHUR C. OUWEHAND University of Turku, Turku, Finland

I.

INTRODUCTION

Propionic acid bacteria (PAB) are characterized as gram-positive, nonsporing, nonmotile pleomorphic rods. Although some strains may be relatively aerotolerant, they are basically anaerobes that produce propionic acid, acetic acid, and CO2 as their main fermentation products. Their optimal growth temperature is between 30 and 378C. PAB were first described by Freudenreich and Jensen in 1906 and given the name Propionibacterium by Jensen in 1909.[1] PAB are divided into two principal groups: the classical or dairy PAB and the cutaneous PAB (Table 1). The main habitat of the classical PAB are dairy

Table 1

Two Groups of Propionibacterium Species

Classical (dairy) strains

Cutanous strains

P. P. P. P. P. P. P. P.

P. acnes P. avidum P. granulosum P. lymphophilum P. propionicus

acidipropionici australiense cyclohexanicum freudenreichii subsp. freudenreichii freudenreichii subsp. shermanii jensenii thoenii microaerophilum

The species formerly known as P. inoccuum has been reclassified as Propioniferax innocua.

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Hoang-Dung TRAN and friends products, in particular Swiss-type cheeses. However, they have also been isolated from rumen contents, spoiled olives, and spoiled orange juice. The main habitat of the cutaneous PAB is the human skin, where they are part of the normal microbiota. They have also been isolated from the feces of humans, chickens, and pigs. Cutaneaus PAB have occasionally also been isolated from pathological material. Based on 16S rRNA studies, it appears that the classical and dairy PAB are also phylogenetically distinct.[2,3]

II.

METABOLISM

The major means of energy generation of PAB is the production of CO2, propionic acid, and acetic acid through fermentation: 3 glucose
! 4 propionate þ 2 acetate þ 2CO2

(1)

This yields 4 ATP per glucose molecule and is thereby more energy efficient than lactic or acetic acid fermentation. The ATP is generated not only through substrate phosphorylation, but also by oxidative phosphorylation. PAB also have the ability to grow on lactate under anaerobic conditions, a property that is often used for the selective cultivation of PAB: Classical pathway: 3 lactate
! 2 propionate þ acetate þ CO2 þ H2 O þ ATP

(2)

Formation of succinate by CO2 fixation: 3 lactate
! (2
x) propionate þ acetate þ (1
x) CO2 þ x succinate þ 3 ATP

(3)

Aspartate as electron acceptor[4]: 3 lactate þ 6 aspartate
! 3 acetate þ 3 CO2 þ 6 succinate þ 6 NH3 þ 3 ATP

(4)

For the propionic acid fermentation, biotin and vitamin B12 are required. These can be synthesized by the PAB and explains why they are rich sources of these vitamins. III.

PROPIONIC ACID BACTERIA AS DAIRY STARTERS

PAB are commonly used as starter cultures in the dairy industry. Freudenreich and Jensen[5] first described propionibacteria when studying propionic acid fermentaion in Emmental cheese. The species commonly included in dairy products are P. acidipropionici, P. jensenii, P. thoenii, and both subspecies of P. freudenreichii. PAB play an important role in the production of flavor compounds and the ripening of cheese. Dairy PAB strains are autolytic under the conditions found in cheese and degrade peptides and amino acids present in the cheese. This proteolytic activity leads to an increase in free proline, which contributes to the flavour of PAB-containing cheese.[6] During the maturation of the cheese, the PAB will utilize the lactate that is formed by other starter bacteria present in the cheese.

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Hoang-Dung TRAN and friends As outlined above, this will lead to the production of CO2, which forms the eyes in the cheese.[7] The utilization of lactate will also lead to the formation of propionic acid, one of the typical flavor components of Swiss-type cheeses. Other important flavor compounds include branched-chain fatty acids, which originate from amino acid catabolism.[8] PAB may also produce exopolysaccharides in milk. This may have important practical implications for modifying the rheological properties of certain fermented dairy products containing PAB or for the production of exopolysaccharide-based thickeners produced by food-grade microbes.[9]

IV.

ANTIMICROBIAL ACTIVITY OF PROPIONIC ACID BACTERIA

A.

Propionic Acid

Like most other organic acids, propionic acid is inhibitory to certain bacteria and fungi at low pH. Propionic acid bacteria have been added to food in order to function as a preservative. Propionic acid inhibits the growth of microbes through its accumulation within the cell and subsequent inhibition of enzyme activity. Commercial production of propionic acid from the fermentation of sugars by species of PAB has received considerable attention over the years. Milk whey has been suggested as an inexpensive growth medium for the production of propionic acid by P. acidipropionici or P. freudenreichii.[10] Propionic acid fermentations may be improved through the combination with lactate-producing organisms, e.g. homofermentative Lactobacillus species.[11] However, the low concentrations of the acids in the broth and the long incubation time make production and recovery too expensive. Continuous extraction of the acids with solvents has been attempted, but the solvents are in general toxic to the producing cells. Separating the solvent phase from the growth broth by a membrane may eliminate this problem. Alternative extractants like quarternary amines may further improve the removal of propionic acid from broth.[12] It is, however, uncertain if this type of propionic acid production can compete with the petrochemical production through oxidation of liquid phase propane or propanal. B.

Bacteriocins

Bacteriocins have been defined as proteinaceous substances with a narrow inhibitory spectrum, plasmid encoded together with immunity factor.[13] However, many bacteriocins exhibit a rather wide spectrum of inhibition. This makes them of particular interest for potential practical applications, as natural preservatives in foods, or to strengthen the barrier function of the normal intestinal microbiota with bacteriocin-producing probiotics. Reports on the prevalence of bacteriocin production by PAB are variable. Leversee and Glatz[14] observed that only 4 out of 52 PAB strains tested produced bacteriocins. However, Holo and coworkers[15] observed that the majority of P. acidipropionici, P. jensenii, and P. thoenii produced bacteriocin-like activity, while only 6 out of 52 tested P. freudenreichii exhibited such activity. The prevalence of bacteriocin production may be underestimated when a small number of indicator strains is used. When a large panel of indicator strains was used, almost all strains of PAB exhibited antimicrobial activity against at least one of the tested strains.[16] Despite the apparent prevalence of bacteriocinogenic strains of PAB, few bacteriocins from this genus have been described in detail (Table 2). Although bacteriocins by definition are proteinaceous and thus are sensitive to proteolytic degradation, it has been observed that mild proteolysis of the bacteriocin produced

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Table 2

Bacteriocins Produced by Propionic Acid Bacteria

Bacteriocin

Producing strain

Molecular weight (Da)

Acnecin

P. acnes

Jenseniin G

P. freudenreichii subs. shermanii ATCC 9616 P. jensenii P126

.12,000

Jenseniin P

P. jensenii B1264

3000– 10,000

Protease-activated antimicrobial peptide (PAMP) Propionicin PLG-1

P. jensenii LMG 3032

6383

P. thoenii P127

9328

7130

Propionicin SM1

P. thoenii 419 P. thoenii LMG 2792 P. jensenii DF1

22,300

Propionicin SM2

P. jensenii DF1

13,600

Propionicin T1

800 – 1200

Activity against Cutaneous propionic acid bacteria Gram-negative bacteria and yeasts Propionic and lactic acid bacteria Cutaneous propionic acid bacteria, gram-positive and -negative Propionibacteria, lactobacilli Yeast, mold, some gramnegative, lactic acid bacteria Propionic acid bacteria

Yeast, mold, lactic and propionic acid bacteria

Ref. 85 86

18 29

87

14

88

89 16

by P. jensenii B1264 increases its inhibitory activity and its inhibitory spectrum.[17] This may provide a new type of antimicrobial activity, where activation takes place first in an environment with proteolytic activity, e.g., the gastrointestinal tract. The potential application of bacteriocins or bacteriocinogenic strains is great. However, in general the formation of bacteriocins by PAB is slow. It may require 3 days for propionicin T1 or 7 days or more for jenseniin G and propionicin PLG-1. Even after this long incubation period, the concentration of bacteriocins may be very low and antimicrobial activity needs to be concentrated in order to be detectable.[18] This may relate to the fact that production in liquid media is in general poor compared to solid media and culture conditions need to be very carefully optimized to obtain higher yields.[19] These difficulties in the production are likely to limit the possibilities for practical applications of the bacteriocins of PAB. To what extent bacteriocins are produced in situ by PAB in a food matrix or in the intestine is currently unknown.

C.

Antiviral Activity

PAB have also been observed to produce antiviral substances; propionins. These substances were found in the cell-free extracts of P. freudenreichii and suggested to be of proteinaceous nature[20] with a molecular weight of 1000 to 1500 Da.[21] However, since these early reports, no further investigations have been reported on this subject.

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D.

Applications of PAB as Preservatives

Propionate is commonly used in the manufacture of bread to inhibit spoilage organisms. It is a much more powerful inhibitor of yeasts and molds than, e.g., acetate or lactate.[22] Propionic acid (E280) and sodium, potassium, and calcium propionate (E281, E282, E283, respectively) are therefore allowed as preservatives in most countries in the world. The use of propionates will retard mold growth by several days, thereby extending the shelf life. Propionic acid bacteria are not normally found in sourdough breads,[23] but may be added to aid in the inhibition of spoilage organisms. Two products on the market exploit PAB and/or their metabolites for preservation purposes. MicrogardTM is a skim milk product pasteurized after fermentation with P. freudenreichii subsp. shermanii. It is used to preserve dairy products such as cottage cheese and inhibits the growth of some molds and gram-negative bacteria, but not gram-positive bacteria.[24] The antimicrobial activity of Microgard is attributed to a 700 Da heat-stable peptide and, to a lesser extent, to the presence of propionic acid and acetic acid. Al-Zoreky and coworkers claimed that the inhibitory activity can be increased by varying the fermentation conditions under which Microgard is produced, but did not provide any details.[25] Microgard is mainly marketed in the United States and Canada. The other commercial product using PAB for preservation is BioprofitTM, which is mainly used in Europe. Bioprofit consists of a combination of P. freudenreichii subsp. shermanii JS and Lactobacillus rhamnosus LC-705. It is effective in suppressing the outgrowth of spoilage organisms in dairy products and sourdough bread. The combined effect of the two strains against spoilage yeast, molds, and Bacillus ssp. was stronger than the effect of either culture alone. This was suggested to be due to a synergistic effect of the different metabolites of the culture combination. The active components in Bioprofit, other than acetic, lactic, and propionic acids, are currently not known.[26] PAB have also been suggested for the preservation of meat products. Such applications relied, however, solely on the production of propionic acid to replace chemically manufactured propionate.[27] PAB have been successfully applied in silage to prevent the growth of aerobic bacteria or yeasts and molds. The addition of PAB prolongs the storage life of the silage through the production of propionic acid and by lowering the pH. The silage also has a better aerobic stability after opening. This results in a better quality silage with a higher nutritional value, which may benefit animal husbandry. In addition to the use of pure cultures of PAB, combinations with lactobacilli, such as Bioprofit, have been observed to produce good quality silages.[26] However, combinations of lactobacilli and PAB have also been observed to perform less then either strain alone, probably through antagonistic acitivities.[28] This clearly indicates that strain combinations should be carefully assessed. An interesting potential application of PAB bacteriocins has been suggested by.[29] P. jensenii B1264 produces a bacteriocin (Jenseniin P) (see Table 2) that is active against, among others, P. acnes and could thus be used in the treatment of acne vulgaris. Whether this actually will work in vivo remains, to be determined.

V.

PROPIONIC ACID BACTERIA AS PROBIOTICS

The literature concerning the potential probiotic properties of PAB is very limited compared to that about lactobacilli and bifidobacteria. However, in recent years an increasing number of reports on the potential health benefits of PAB have been published.

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Hoang-Dung TRAN and friends It is still uncertain if PAB represent an important fraction of the intestinal microflora. Some reports describe the detection of relatively high levels of mainly cutaneous PAB,[30] while others report low or nondetectable levels of PAB.[31 – 33] Although potential probiotics often originate from the intestine, in the case of PAB it may be advisable not to use intestinal isolates, as these usually belong to the group of cutaneous PAB. This group is associated with disease (see below) and is therefore not appropriate. However, the classical PAB have a number of properties that make them good probiotic candidates. Survival of gastrointestinal transit is an important selection criterion for probiotics. Several PAB strains have been observed to survive exposure to low pH, which simulates passage through the stomach.[34,35] Although incubation at low pH can affect the viability and the enzyme activity of PAB to a varying extent, this can be counteracted through the presence of milk or cheese, indicating that PAB present in a food matrix may exhibit better survival.[36] The ability of PAB to survive low pH can also be significantly improved by a short exposure to a nonlethal pH (e.g., pH 5). Even exposure to other nonlethal stresses may provide protection against low pH.[37] How this preadaptation can be maintained in a product to facilitate better survival of gastric transit remains to be determined. Strains of PAB have also been observed to resist exposure to bile salts.[35] Despite their resistance to bile, some strains were apparently permeabilized by it, allowing more lactose to enter the cell, which was subsequently hydrolyzed. Exposure to bile also stimulated the production of b-galactosidase, further increasing the activity. This can be expected to contribute to a relief of lactose intolerance symptoms. Bile-sensitive strains of PAB were also permeabilized, but their b-galactosidase activity decreased during prolonged exposure to bile,[38] and their contribution to lactose digestion may therefore be more limited. PAB have been observed to survive gastrointestinal transit in relatively high levels,[39] but were not observed to persist in the human intestine after feeding was stopped.[32] Mice fed P. acidipropionici CRL1198 were found to excrete PAB at levels of 108 colony-forming units (CFU)/g one week after cessation of PAB feeding.[40] Another important selection criterion for probiotics is their ability to adhere to the intestinal mucosa. This may allow a probiotic organism to persist longer in the gastrointestinal tract to contribute to the competitive exclusion of pathogens and to modulate the immune response.[41] Some PAB have been assessed for their ability to adhere to intestinal mucosal models. It was observed that P. freudenreichii ssp. shermanii JS adhered to Caco-2 enterocyte-like tissue culture cells at levels similar to L. rhamnosus GG, a probiotic strain known to adhere well to the intestinal mucusoa and intestinal mucosal models.[42] This adhesion was reduced by 24% through prior adhesion of L. rhamnosus LC-705, indicating a competition for binding sites. Adhesion of four PAB to human intestinal mucus was observed to be low and mainly due to nonspecific interactions with the mucus.[41] Interestingly, this adhesion could be increased two- to threefold through prior adhesion of other probiotics, such as L. rhamnosus GG or B. lactis Bb12. These observations suggest that certain combinations of PAB and other probiotics may be synergistic, while others may be antagonistic. The skin has been suggested as a novel area for probiotic use of PAB. Classical PAB are nonpathogenic and would be well suited to compete with the cutaneous PAB and other skin microbes. In addition, some strains of classical PAB have been observed to adhere well to keratin, the main protein in skin.[43] Although in vitro adhesion assays are useful screening tools, the results need to be confirmed in vivo. Good correlation between in vitro adhesion and adhesion in mice for six strains of PAB has been observed.[44] Strain P. acidipropionici CRL1198, which earlier had been observed to persist for at least a week, exhibited the highest adhesion both in vitro and in vivo.

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Hoang-Dung TRAN and friends Thus, PAB appear to fulfill the major selection criteria for probiotics and may therefore have a potential to be used as such. However, fulfilling probiotic selection criteria does not guarantee probiotic efficacy. This will have to be assessed in vivo in the target host.

A.

Stimulation of Bifidobacterium Growth

Organic acids, and in particular propionic acid, have been observed to stimulate the growth of bifidobacteria.[45] Propionate is therefore also often added to media for the selective enumeration of bifidobacteria.[46] The ability of PAB to stimulate the growth of bifidobacteria was first observed by Kaneko and co-workers.[45] They observed that PAB and several intestinal bacteria, such as Bacteroides, Enterobacter, and Enterococcus, released growth-stimulating factors for bifidobacteria in the growth medium. The stimulatory activity was purified and identified as 2-amino-3-carboxy-1,4-naphthoquinone (MW 217 Da).[47] Other workers have observed that PAB stimulation of the growth of bifidobacteria appears to be a relatively common phenomenon. Warminska-Radyko and coworkers[35] observed that all 27 PAB tested stimulated the growth of at least some bifidobacteria. However, 15 strains of PAB were observed to inhibit the growth of some bifidobacteria. It is not certain if these bifidogenic properties of selected PAB strains are expressed in vivo. Bougle´ and coworkers[32] observed that feeding 5  1010 CFU of P. freudenreichii SI26 and SI 41 daily increased the fecal Bifidobacterium one week after stopping the consumption of PAB. At that time, no PAB were detected in the feces, and it is therefore unlikely that this increase is due to the previously consumed PAB. However, an increase in the level of fecal bifidobacteria in children upon consumption of P. freudenreichii ssp. shermanii has been observed.[48] Although bifidobacteria are considered to be the main beneficial members of the intestinal microflora, a mere increase in their numbers does not necessarily contribute to a beneficial health effect. The specific health benefits of increased fecal bifidobacteria levels will need to be determined. B.

Stimulation of Propionic Acid Bacteria Growth by Lactobacilli

Selected lactobacilli have been observed to stimulate the growth of propionic acid bacteria. This may be due to the production of lactic acid from hexoses that cannot be utilized by PAB. The produced lactic acid will subsequently serve as a carbon and energy source for the PAB. However, other mechanisms may also be involved. L. helveticus DPC 4571 stimulated the growth of P. freudenreichii DPC 3801 in milk. This appeared to be due to the production of tetra-, penta-, and hexa-peptides from casein, which are produced by cell wall – associated proteinases of L. helveticus DPC 4571. Also, peptides from casein produced by other L. helveticus strains were found to be growth stimulating.[49] The health implications of this are uncertain. However, casein-derived peptides are apparently able to survive digestion since selected peptides retain their ability to lower blood pressure upon consumption.[50] This could indicate that dairy products that contain growth-promoting peptides for PAB will retain their functionality and may be able to stimulate PAB growth in the intestine, although this would need to be assessed in vivo. C.

Changes in Intestinal Microflora Composition

Feeding of PAB to mice has been observed to cause changes in the composition of the fecal microflora, such as a reduction in the level of coliforms.[51] Sidorchuk and

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Hoang-Dung TRAN and friends Bondarenko[48] observed an increase in fecal bifidobacteria and lactobacilli and a decrease in enterobacteria and staphylococci in children with microflora abnormalities. Whether this will also contribute to a protection against pathogens remains to be determined.

D.

Fecal Enzyme Activity

The intestinal microflora is able to generate mutagens, carcinogens, and tumor promoters from dietary and endogenously produced precursors. Bacterial enzymes involved in the production of these harmful substances are azoreductase, nitroreductase, nitrate reductase, b-glucuronidase, and b-glycosidase. The ability of certain probiotics to reduce the level of these enzymes in feces is considered to be a desirable trait. It was observed that P. acidipropionici CRL1198 reduced the fecal b-glucuronidase in mice.[51] The activity of other fecal enzymes was not changed upon feeding either of the five tested PAB. Consumption of a combination of P. freudenreichii ssp. shermanii JS and L. rhamnosus LC-705 was found to cause a reduction in the level of fecal azoreductase in elderly subjects.[52] In addition to altering the fecal enzyme activity, P. freudenreichii ssp. shermanii JS, in combination with L. rhamnosus LC-705 has also been observed to be able to reduce the fecal level of the carcinogen aflatoxin B1 in volunteers.[53] Although the observations that PAB can reduce fecal enzyme activity and remove aflatoxins are promising, it remains to be determined whether this will actually lead to a reduced risk for cancer in humans. E.

Cholesterol-Lowering Effects

P. acidipropionici has been shown to reduce serum cholesterol levels in mice.[40] The mechanism by which this occurred is not known, though it has been hypothesized to relate to the absorption of cholesterol to the bacteria whereby the cholesterol would be excreted from the body without being reabsorbed. In addition to absorption or metabolism of cholesterol, the production of propionic acid may contribute to the lowering of serum cholesterol. Acetate, which is produced by bacterial fermentation, has been observed to cause an increase in serum cholesterol, which could be counteracted by the presence of propionate.[54] PAB, which are main propionate producers, may in that way contribute to lowering of serum cholesterol. The reduction of serum cholesterol levels has been assessed for many probiotics, with conflicting results. It therefore remains to be determined whether PAB will perform better. F.

Production of Conjugated Linoleic Acid and Other Biologically Active Components

Conjugated linoleic acid (CLA) has attracted extensive interest because of its potential beneficial physiological effects and anticarcinogenic and antiatherosclerotic properties.[55 – 57] CLA consists of a mixture of isomers of octadecadienoic acids with conjugated double bond of which the cis-9,trans-11 configuration is considered to have highest biological activity.[56] Because CLA is formed in the rumen by microbes such as Butyrovibrio fibrisolvens through conversion of linoleic acid (LA), dairy products and beef are the main source. However, PAB have been observed to be able to form CLA from LA. In a screening it was observed that three out of the six tested PAB were able to form CLA, while none of the tested lactobacilli or lactococci were able to do so.[58] CLA is mainly produced by growing cells, but nongrowing cells are also able to convert LA to CLA. Growing cells

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Hoang-Dung TRAN and friends may accumulate 80 – 87% CLA of the initial LA present in the culture. It has been suggested that the isomerization is a detoxification reaction for LA.[58,59] The practical implications of this remain to be determined. It is not likely that PAB will produce appreciable amounts of CLA in situ in the human intestine due to low local levels of LA. Nor is it certain whether the biological production of CLA will be able to compete with the chemical production, although the former will produce a larger fraction of the biologically important cis-9, trans-11 isomer. Feasible applications may be in the field of CLAenriched fermented dairy products. Some dairy products are richer in CLA then others, depending on the microbiota present.[56] Inclusion of PAB may enrich these products with CLA, although their inclusion should not affect the taste of the product negatively. In addition, it has to be determined if such CLA-enriched products indeed have additional health benefit over the traditional products. In the formation of propionic acid, PAB use enzymes that contain several specific cofactors such as vitamin B12, folic acid, and biotin. PAB have therefore long been known to be efficient producers of these vitamins and are used to commercially produce vitamin B12. The production of vitamin B12 is a two-stage process involving anaerobic growth followed by aerobic incubation in the latter phase of the production.[60] To further increase the yield of the vitamin, the precursor dimethylbenzimidazole can be added to the fermentation mixture.[61] Although green vegetables are the main dietary source of folic acid, milk does contain reasonable amounts of folic acid (50 – 100 mg/L). Because some dairy starters produce folic acid, certain fermented dairy products like Brie and Camembert cheeses may contain 10 times higher levels of folate than milk.[62] It can be expected that PAB-containing cheeses are good sources of folate. PAB use biotin as a cofactor in their propionic acid synthesis. It is, however, not known how much their biotin content contributes to the dietary intake of this vitamin from foods containing PAB. Another potential nutritional contribution of PAB is their mineral content. PAB have been found to contain relatively high amounts of Mg, Mn, and Co.[63] However, since the biomass of PAB that is consumed is in general low, it remains to be determined whether this represents a significant source of these minerals. In response to external stresses, PAB can accumulate varying amounts of trehalose. Trehalose is a low-energy sugar because it is only partially digested in the human gastrointestinal tract and is poorly metabolized by many microbes. It can therefore be used as a dietetic sugar.[61] Trehalose has been observed to be utilized by commensal Escherichia coli but not by enterohemorrhagic E. coli O157:H7. This leads to a displacement of the latter by the commensal E. coli. Indeed, the feeding trehalose has been observed to reduce the carrier level of E. coli O157:H7 in ruminants. This may provide an additional control method for this pathogen.[64] Because PAB are normal members of the rumen microflora,[65] it could be hypothesized that trehalose-excreting PAB would have a similar effect.

G.

Immunomodulation

Cutaneous PAB have been observed to modulate the immune response upon injection of whole cells or cell fragments in animals. Tsuchida and coworkers[66] observed that injection of P. acnes into mice activated macrophages and significantly reduced systemic metastasis formation after tumor transplantation. Similarly, Pulverer and coworkers[67] showed that injection of P. avidum into mice reduced the number of liver tumors induced

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Hoang-Dung TRAN and friends by RAW 117-H110 lymphosarcoma. Interestingly, similar results have also been obtained in human studies. Preoperative injection with P. granulosum KP-45 in patients with colorectal carcinoma resulted in a reduced number of postoperative wound infections and significantly increased the survival of patients treated for stage I and stage II colorectal cancer. The recurrence rate was significantly less in the treatment group as compared to the control group after 76 months.[68] Simultaneous administration of P. acnes and Brucella vaccine has been shown to improve the response to the vaccine, both through activation of macrophages and through T-cell –mediated cytolytic activity.[69] Injection of P. granulosum or its cell walls into mice prior to infection with herpes simplex, vaccinia, or mouse hepatitis virus led to a significant reduction in mortality among the treated mice. Treatment of the mice with P. granulosum on the same day as the virus infection did not always result in a protective response.[70] Thus, injection of selected PAB appears to result in a potentially beneficial modulation of the immune response in animals and in humans. There is some evidence that oral administration of PAB may provide an immunomodulatory response. Oral administration of P. acidipropionici CRL 1198 was observed to increase the phagocytic activity of macrophages[40] in mice. Oral administration of P. freudenreichiii ssp. shermanii JS to mice stimulated the proliferative activity of B and T lymphocytes.[71] It can be hypothesized that oral administration of PAB may induce apoptosis in colorectal carcinoma cells via the production of short-chain fatty acids, in particular acetate and propionate.[72] In humans, immune modulation after oral administration of PAB has been observed. P. avidum KP-40 was found to counteract the immune depression caused by intensive sport activities and normalized lymphocyte counts and activities.[73] The main immunomodulatory activity has been obtained through injection of cutaneous PAB. This is, however, not the common method of application for probiotics and may provide a safety concern for applications in human medicine (see below). It is therefore important that research on the immune-modulating effects of PAB be more focused on oral administration and the use of classical PAB instead of cutaneous PAB. This will provide safer products for assessment in humans.

H.

Protease Activity

Dairy propionibacteria are known to possess membrane-bound proteases that are able to hydrolyze casein.[74] Proline iminopeptidases have also been isolated from PAB; the enzymes are released when the cells undergo autolysis during the ripening of the cheese.[6] PAB have been suggested to be the predominant proteolytic bacteria found in human feces. Extracellular proteases were found to be responsible for the activity. Although the proteolytic activity was in general low, the authors concluded that PAB may make a significant contribution to proteolytic activity in the colon due to the high levels of PAB observed.[30] However, as stated above, not all investigations have reported high levels of PAB in human feces. The general contribution of PAB to protein digestion therefore remains to be determined. In addition, it is not certain whether proteolytic activity in the colon is a desirable trait. Proteolysis will yield free amino acids, which can be decarboxylated to biogenic amines or give other substances that are potentially harmful to the host when absorbed from the colonic contents.[75] In particular, the cutaneous PAB have been observed to be able to produce inflammatory substances such as tryptamine and

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Hoang-Dung TRAN and friends histamine.[76] The health consequences of in vivo proteolytic activity of PAB need therefore to be carefully examined.

VI.

SAFETY

No data are currently available concerning the possible acute or chronic toxicity of PAB. Although dairy PAB are consumed in relatively large amounts in cheese (108 CFU/g) without any known ill effects, the use of PAB as probiotics would involve the consumption of larger numbers. However, P. freudenreichii ssp. shermanii T-73 was not observed to cause any ill effects on the general state of health of mice, guinea pigs, or rabbits upon intraperitoneal administration of 109 – 1010 CFU. Nor did it exhibit any cytotoxic effects on tissue culture cells.[48] Nevertheless, it would be advised that toxicity studies be performed prior to widespread use of PAB as probiotics, even though it seems unlikely that any serious risk exists. Unlike dairy PAB, cutaneous PAB have been linked to different diseases. P. acnes may be involved in development of acne vulgaris, although it probably dues not initiate it.[77] P. acnes has also been found to be associated with gallstones. It is, however, unclear whether the organism is directly involved in the etiology of gallstone formation.[78] Cutaneous PAB and in particular P. acnes may cause opportunistic infections in patients after surgery and implantation of foreign bodies. Other predisposing factors include diabetes, immune deficiency, malignancy, or trauma.[79,80] Treatment involves intravenous antibiotic therapy and removal of the infected tissue/foreign body. A succes rate of 80% has been observed.[79] Cutaneous PAB have also been tentatively linked to rheumatoid arthritis.[81] This could relate to the strong nonspecific immune modulation exerted by many PAB, as mentioned above. PAB have also been connected to bacteremia in association with endodontic therapy[82] and meningitis in children, where ear, nose, and throat infections have been indicated to be the main predisposing factors.[83] Infections in which PAB have been reported to be involved in the etiology have without exception been caused by cutaneous PAB. Members of this group are known to carry virulence factors such as hyaluronidase activity. P. acnes is also responsible for the breakdown of skin triglycerides, giving rise to a large number of both long-chain and short-chain free fatty acids. In addition to having an unpleasant smell, they also function as important signaling substances for mosquitos[84] and may thus indirectly contribute to the development of disease spread through mosquitos. Because of the potential link between cutaneous PAB and infections, strains belonging to this group do not appear to be particularly suited as probiotics. Dairy strains have so far not been found to be associated with disease[79] and appear to be better candidates for probiotic use. Nevertheless, safety assessments should be considered even for strains from this group. VII.

CONCLUSIONS

The above overview suggests that selected PAB strains have a good potential for use as probiotics. In particular, members of the group of dairy PAB may offer a range of organisms that could be beneficial to the health of the consumer and can be considered to be safe due to their long history of safe use in fermented dairy products. Although mainly cutaneous PAB have been shown to modulate the immune response, some dairy PAB

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Hoang-Dung TRAN and friends have been shown to have immunomodulatory activity, even by oral administration. This is encouraging because the use of cutaneous PAB is less desirable as they have been associated with disease and elaborate safety investigations will be needed to guarantee their safety and include them in novel functional foods. A number of important issues remain to be resolved. To what extent are PAB members of the normal intestinal microbiota and what is their ecological function? The proposed health effects discussed above need to be verified in well-conducted clinical studies. Finally, because PAB produce a rather strong flavor, it will be a challenge to produce functional foods, other than cheese, containing PAB. Thus, there is considerable potential for the probiotic use of PAB, but much work remains to be done.

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Lehto, E.M.; Salminen, S. Adhesion of two Lactobacillus strains, one Lactococcus and one Propionibacterium to cultured human intestinal Caco-2 cell line. Biosc. Microflora. 1997, 16, 13– 17. Ouwehand, A.C.; Ba˚tsman, A.; Salminen, S. Probiotics for the skin: a new area of potential application?. Lett. Appl. Microbiol. 2003, 36, 327–332. Za´rate, G.; Morita de Ambrosini, V.I.; Perez Chaia, A.; Gonza´lez, S.N. Adhesion of propionibacteria to intestinal epithelial tissue in vitro and in vivo. J. Food Prot. 2002, 65, 534 – 539. Kaneko, T.; Mori, H.; Iwata, M.; Meguro, S. Growth stimulator for bifidobacteria produced by Propionibacterium freudenreichii and several intestinal bacteria. J. Dairy Sci. 1994, 77, 393– 404. Hartemink, R.; Rombouts, F.M. Comparison of media for the detection of bifidobacteria, lactobacilli and total anaerobes from faecal samples. J. Microbiol. Meth. 1999, 36, 181 – 192. Mori, H.; Sato, Y.; Taketomo, N.; Kamiyama, T.; Yoshiyama, Y.; Meguro, S.; Sato, H.; Kaneko, T. Isolation and structural identification of bifidogenic growth stimulator produced by Propionibacterium freudenreichii. J. Dairy Sci. 1997, 80, 1959– 1964. Sidorchuk, I.I.; Bondarenko, V.M. Selection of a biologically active mutant of Propionibacterium shermanii and the possibility of its use in complex therapy of enteral dysbiosis. J. Hyg. Epidemiol. Microbiol. Immunol. 1984, 28, 331 – 338. Piveteau, P.G.; O’Callaghan, J.; Lyons, B.; Condon, S.; Cogan, T.M. Characterisation of the stimulants produced by Lactobacillus helveticus in milk for Propionibacterium freudenreichii. Lait 2002, 82, 69– 80. Hata, Y.; Yamamoto, M.; Ohni, M.; Nakajima, K.; Nakamura, Y.; Takano, T. A placebocontrolled study of the effect of sour milk on blood pressure in hypertensive subjects. Am. J. Clin. Nutr. 1996, 64, 767–771. Pe´rez Chaia, A.; Za´rate G.; Oliver, G. The probiotic properties of propionibacteria. Lait 1999, 79, 175– 185. Ouwehand, A.C.; Lagstro¨m, H.; Suomalainen, T.; Salminen, S. The effect of probiotics on constipation, faecal azoreductase activity and faecal mucins. Ann. Nutr. Metab. 2002, 46, 159–162. El-Nezami, H.; Mykka¨nen, H.; Kankaanpa¨a¨, P.; Suomalainen, T.; Salminen, S.; Ahokas, J. Ability of a mixture of Lactobacillus and Propionibacterium to influence the faecal aflatoxin content in healthy Egyptian volunteers: a pilot study. Biosci. Microflora. 2000, 19, 41– 45. Wolever, T.M.S.; Spadafora, P.; Eshuis, H. Interaction between colonic acetate and propionate in humans. Am. J. Clin. Nutr. 1991, 53, 681 – 687. MacDonald, H.B. Conjugated linoleic acid and disease prevention: a review of current knowledge. J. Am. Coll. Nutr. 2000, 19, 111S– 118S. Kelly, G.S. Conjugated linoleic acid: a review. Altern. Med. Rev. 2001, 6, 367 – 382. Belury, M.A. Dietary conjugated linoleic acid in health: physiological effects and mechanisms of action. Annu. Rev. Nutr. 2002, 22, 505 – 531. Jiang, J.; Bjo¨rck, L.; Fonde´n, R. Production of conjugated linoleic acid by dairy starter cultures. J. Appl. Microbiol. 1998, 85, 95– 102. Rainio, A.; Vahvaselka¨, M.; Suomalainen, T.; Laakso, S. Production of conjugated linoleic acid by Propionibacterium freudenreichii ssp. shermanii. Lait 2002, 82, 91 – 101. Hunik, J.H. Improved Process for the Production of Vitamin B12; patent WO 00/37669. Hugenholtz, J.; Hunik, J.; Santos, H.; Smid, E. Nutraceutical production by propionibacteria. Lait 2002, 82, 103– 112. Forsse´n, K.M.; Ja¨gerstad, M.I.; Wigertz, K.; Wittho¨ft, C.M. Folates and dairy products: a critical update. J. Am. Coll. Nutr. 2000, 19, 100S– 110S. Vuorinen, A.; Mantere-Alhonen, S. On trace elements in Propionibacterium freudenreichii mass. Meijeritiet. Aikak. 1982, 40, 53 – 59.

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de Vaux, A.; Morrison, M.; Hutkins, R.W. Displacement of Escherichia coli O157:H7 from rumen medium containing prebiotic sugars. Appl. Environ. Microbiol. 2002, 68, 519 – 524. Rinta-Koski, M.; Beasley, S.; Montonen, L.; Mantere-Alhonen, S. Propionibacteria isolated from rumen used as possible probiotics together with bifidobacteria. Milchwissenschaft 2001, 56, 11– 13. Tsuchida, T.; Fujiwara, H.; Tsuji, Y.; Hamaoka, T. Inhibitory effect of Propionibacterium acnes-activated macrophages on the tumor metastasis enhanced by tumor-specific immunosuppression. Gann 1981, 72, 205– 212. Pulverer, G.; Ko, H.L.; Tungga, L.; Beuth, J.; Jeljaszewicz, J. Combined immunomodulation (Propionibacterium avidum KP-40) and lectin blocking (D-galactose) prevents liver tumor colonization in BALB/c-mice. Zentralbl. Bakteriol. 1994, 281, 491 – 494. Isenberg, J.; Ko, H.; Pulverer, G.; Grundmann, R.; Stu¨tzer, H.; Pichlmaier, H. Preoperative immunostimulation by Propionibacterium granulosum KP-45 in colorectal cancer. Anticancer. Res. 1994, 14, 1399– 1404. Panangala, V.S.; Haynes, T.B.; Schultz, R.D.; Mitra, A. Immunomodulation with killed Propionibacterium acnes in guinea pigs simulaneously vaccinated with Brucella abortus strain 19. Vet. Immunol. Immunopathol. 1986, 13, 71 – 84. Szmigielski, S.; Kobus, M.; Gil, J.; Jeljaszewicz, J.; Pulverer, G. Protection and therapy of mice with acute and chronic experimental virus infections with Propionibacterium granulosum KP-45. Zentralbl. Bakteriol. A 1980, 248, 286 – 295. Kirjavainen, P.V.; El-Nezami, H.S.; Salminen, S.J.; Ahokas, J.T.; Wright PFA. Effects of orally administered viable Lactobacillus rhamnosus GG and Propionibacterium freudenreichii subsp. shermanii JS on mouse lymphocyte proliferation. Clin. Diag. Lab. Immunol. 1999, 6, 799 – 802. Jan, G.; Belzacq, A.-S.; Haouzi, D.; Rouault, A.; Me´tivier, D.; Kroemer, G.; Brenner, C. Propionibacteria induce apoptosis of colorectal carcinoma cells via short-chain fatty acids acting on mitochondria. Cell. Death Diff. 2002, 9, 179 – 188. Pottkamper, M.; Randerath, O.; Beuth, J.; Pulverer, G. Influence of propionibacterium avidum KP-40 on the cellular immune system after intensive sport activity. Zentralbl. Bakteriol. 1996, 284, 367– 371. Dupuis, C.; Corr, C.; Boyaval, P. Proteinase activity of dairy propionibacteria. Appl. Microbiol. Biotechnol. 1995, 7, 750– 755. Hughes, R.; Rowland, I.R. Metabolic activities of the gut microflora in relation to cancer. Microb. Ecol. Health Dis. 2000, 11, 179 – 185. Allaker, R.P.; Greenam, J.; Osborne, R.H. The production of inflammatory compounds by Propionibacterium acnes and other skin organisms. Br. J. Dermatol. 1987, 117, 175 – 183. Toyoda, M.; Morohashi, M. Pathogenesis of acne. Med. Electron. Microsc. 2001, 34, 29 – 40. Wu, X.T.; Xiao, L.J.; Li, X.Q.; Li, J.S. Detection of bacterial DNA from cholesterol gallstones by nested primers polymerase chain reaction. World J. Gastroenterol. 1998, 4, 234 – 237. Jakab, E.; Zbinden, R.; Gubler, J.; Ruef, C.; von Graevenitz, A.; Krause, M. Severe infections caused by Propionibacterium acnes: an underestimated pathogen in late postoperative infections. Yale. J. Biol. Med. 1996, 69, 477– 482. Brook, I.; Frazier, E.H. Infections caused by Proionibacterium species. Rev. Infect. Dis. 1991, 13, 819– 822. Kotilainen, P.; Merilahti-Palo, R.; Lehtonen, O.P.; Manner, I.; Helander, I.; Mottonen, T.; Rintala, E. Propionibacterium acnes isolated from sternal osteitis in a patient with SAPHO syndrome. J. Rheumatol. 1996, 23, 1302– 1304. Daly, C.; Mitchell, D.; Grossberg, D.; Highfield, J.; Stewart, D. Bacteraemia caused by periodontal probing. Aust. Dent. J. 1998, 42, 77 – 80. Brook, I. Meniningitis and shunt infection caused by anaerobic bacteria in children. Pediatr. Neurol. 2002, 26, 99– 105.

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Braks, M.A.H.; Anderson, R.A.; Knols, B.G.J. Infochemicals in musquito host selection: human skin microflora and Plasmodium parasites. Parasitol. Today 1999, 15, 409 – 413. 85. Fujimura, S.; Nakamura, T. Purification and properties of a bacteriocin-like substance (acnecin) of oral Propionibacterium acnes. Antimicrob. Agents Chemother. 1978, 14, 893 – 898. 86. Ayres, J.W.; Sandine, W.E.; Weber, G.H. Propionibacteria Peptide Microcin. U.S. patent 5,635,484, 1997. 87. Faye, T.; Brede, D.A.; Langsrud, T.; Nes, I.F.; Holo, H. An antimicrobial peptide is produced by extracellular processing of a protein from Propionibacterium jensenii. J. Bacteriol. 2002, 184, 3649– 3656. 88. Faye, T.; Langsrud, T.; Nes, I.F.; Holo, H. Biochemical and genetic charcterization of propionicin T1, a new bacteriocin from Propionibacterium thoenii. Appl. Environ. Microbiol. 2000, 66, 4230– 4236. 89. Miescher, S.; Stierli, M.P.; Teuber, M.; Meile, L. Propionicin SM1, a bacteriocin from Propionibacterium jensenii DF1: isolation and characterization of the protein and its gene. Syst. Appl. Microbiol. 2000, 23, 174 –184.

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Hoang-Dung TRAN and friends

5 Industrial Use and Production of Lactic Acid Bacteria ¨ YRA ¨ -MA ¨ KINEN ANNIKA MA Valio LTD, Helsinki, Finland MARC BIGRET BioSav LTD, Montpellier, France

I.

INTRODUCTION

Since the early 1900s there has been a marked worldwide increase in the industrial production of cheeses and fermented milks. Process technology has progressed toward increasing mechanization, increasing factory sizes, shortening processing times, and processing larger quantities of milk. Fermented milk can be used in more than 1000 products for and affects flavor, texture, and final product quality. All this is reflected in enormous demands for starter cultures, their activity, stable quality, and bacteriophage resistance. The art of making cultured food products by using the former day’s whey or fermented product for today’s process has been changed to a science with exact knowledge of the factors influencing the specific starter species and strains. Many outstanding reviews have been published about the metabolism, physiology, genetics, production, and use of starter cultures. Thus, in this chapter the general view of the most important factors concerning starter activity, its effect on the final product, and industrial starter production are discussed. The discussion of industrial production of starters is mostly based on the author’s experience.

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II.

Hoang-Dung TRAN and friends MESOPHILIC AND THERMOPHILIC STARTERS USED BY THE DAIRY INDUSTRY

The starters used in dairy products can be divided into mesophilic and thermophilic starters according to optimum growth temperature. Mesophilic cultures grow in temperatures of 10 –408C, with the optimum around 308C. Thermophilic starter cultures have their optimum growth temperature between 408C and 508C. Mesophilic starter cultures, composed of acid-forming lactococci and often of flavor producers, are used in the production of many cheese varieties, fermented milk products, and ripened cream butter.[1] Thermophilic starters are used for yogurt and for cheese varieties with high cooking temperatures (Emmental, Gruye`re, Comte, Grana). The starter cultures are usually composed of different species or of several strains of a single species. Differently composed starters can be categorized as follows: Single-strain starter: one strain of a certain species Multiple-strain starter (defined strain starter): different known strains of one species Multiple-mixed-strain starter: different defined strains of different species Raw mixed-strain starter: species and strains partly or all unknown The traditional raw mixed-strain starters are widely used, especially in fermented milk products and ripened cream butter. All the categories are known as cheese starters, and the trend is toward multiple-strain starters. Mesophilic cultures are either raw mixed-strain or multiple-strain cultures in Europe and North America. The multiple strains are used singly, in pairs, or in multiples, and their use was pioneered in New Zealand by Whitehead[2] to avoid open-texture defects in cheddar cheese caused by flavor-producing organisms in mixed cultures. The defined strain cultures have led to the understanding of strain interaction with phages.[3] During the 1970s the big cheese plants started to use defined phage-insensitive strain systems with good success.[4 – 6] Since this development, the multiple-strain starters have become popular in Australia,[7] the United States;[8 – 10] and Ireland.[11] About 85% of all cheddar cheese was produced with these starters in 1985.[12] In the Netherlands a totally different starter system is applied based on the difference in phage sensitivity between the starters propagated in the laboratory (“L cultures”) and in practice (“P cultures”). Under aseptic conditions the L cultures became dominated by phage-sensitive strains, while P cultures propagated in nonaseptic dairy conditions attained the optimum balance between phage-sensitive and -insensitive strains. The cultures used are P cultures kept in The Netherlands Dairy Research Institute and distributed to the cheese factories for large-scale production.[13] Thermophilic cheese cultures can also be divided into two categories: raw mixed starters and defined strain starters with multiple or single strains. Raw mixed cultures are widely used in traditional cheese making in Switzerland, France, and Italy. The mixed cultures contain Streptococcus thermophilus and different species of Lactobacillus: L. helveticus, L. lactis, L. bulgaris, L. fermentum, and L. acidophilus. The raw mixed cultures can be natural whey cultures or produced by macerating dried calf vells in the previous day’s cheese whey. In spite of the use of these unknown mixed cultures, the need to know the exact properties of starter strains is well recognized in Switzerland. During the 1970s defects in secondary fermentation occurred in Emmental cheese, caused by starters that were too proteolytic, which stimulated propionic acid fermentation and production of CO2.[14] After research on this defect the variety of starter cultures decreased, and they are distributed weekly to cheese factories by the Research Institute.[15]

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Hoang-Dung TRAN and friends Single-strain starters containing Str. thermophilus and L. helveticus have been developed in France[16] and used for Gruye`re and Emmental cheese as frozen concentrated cultures for bulk starter or direct inoculation of cheese milk. Single-strain starters have been used in Finland for Emmental cheese, starting in the 1930s with Str. thermophilus strains; by the 1950s single strains of L. helveticus and propionic acid bacteria were also used. Because of the decrease of natural flora in raw milk during the 1970s and 1980s, more species of lactobacilli and propionic acid bacteria were needed for Emmental cheese to accelerate the ripening time and to improve the taste and eye appeal.

A.

Mesophilic Species and Types of Starters

The species composition of most mesophilic starters include Lactococcus lactis ssp. lactis, Lactococcus lactis ssp. cremoris, Lactococcus lactis ssp. lactis var. diacetylactis, Leuconostoc lactis, and Leuconostoc cremoris. Lc. lactis ssp. lactis and Lc. lactis ssp. cremoris are acid-producing microorganisms. When starter cultures contain only these species, they are characterized as O type. Lc. lactis ssp. lactis var. diacetylactis and Leuconostoc sp. are citric acid – fermenting bacteria. When the only citrate-fermenting species present is Lc. lactis ssp. lactis var. diacetylactis, the culture is of D type. When the Leuconostoc sp. is the only aroma producer, the culture is of B (or L) type. When both aroma-forming species are in the culture, it is called BD (or LD) type. Several combinations of single or multiple strains of lactic acid bacteria are currently used in cheese making. The various starter systems used in the dairy industry are either mixed cultures in which the composition of the mixture is not defined or cultures containing well-defined single or multiple strains. 1.

2.

3.

Dutch: Mixed cultures, coming from dairies or butter plants, are propagated, without isolation, in order to keep a composition as close as possible to the original culture. When those cultures are propagated under aseptic conditions, very few bacteriophage attacks are unnoticed. New Zealand: This system is used in many Anglo-Saxon countries and utilizes multiple-strain cultures composed of a small number of defined strains. Either the same culture containing two to six strains is used alone for a long time, or several cultures are used in rotation in order to prevent bacteriophage attacks. In the latter case, the cultures have to have different bacteriophage sensitivity profiles. Australian: This system consists of a single strain, replaced as soon as possible in case of a bacteriophage attack. From the sensitive strain screened in the factory, a secondary resistant strain is derived to replace the original strain.

A combination of these two last systems has been successfully used in the United States and Ireland by selecting secondary resistant strains and including them afterwards in multiple-strain cultures. B.

Thermophilic Species and Types of Starters

Thermophilic organisms belong to two genera: Lactobacillus and Streptococcus. Lactobacillus is a large genus with over 50 homo- and heterofermentative species. Only a few of these are involved in milk fermentations. Lb. delbrueckii ssp. lactis and

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Hoang-Dung TRAN and friends Lb. helveticus are the starter lactobacilli for cheeses with high cooking temperatures, and Lb. delbrueckii ssp. bulgaricus (formerly known as Lb. bulgaricus) is a component in yogurt together with Str. salivarius ssp. thermophilus. Lb. acidophilus is of intestinal origin and is widely used in different kinds of milk products because of its believed beneficial effects on human and animal health. Lactobacilli are used in combination with Str. thermophilus. This combination is naturally selected because of the high temperatures used in the fermentation of certain cheeses and yogurt. Lb. lactis, Lb. bulgaricus, and Str. thermophilus do not metabolize galactose, and thus lactose metabolism by Str. thermophilus results in galactose accumulation in the medium (Thomas and Crow, 1984). For this reason only galactose-fermenting lactobacilli should be used as starters together with Str. thermophilus.[17] A symbiotic relationship exists between S. thermophilus and Lb. delbrueckii ssp. bulgaricus. Lb. bulgaricus stimulates S. thermophilus by releasing amino acids, while the latter produces formic acid –like compounds, which promote the growth of Lb. bulgaricus. Many outstanding reviews have been written in this area describing the symbiosis in detail.[18 – 21] Some data have been published about the symbiotic relationship existing between Str. thermophilus and Lb. helveticus, but the actual compounds involved are not known yet.[22] The lactobacilli with lower optimum growth temperatures, Lb. casei and Lb. plantarum, grow in cheese as natural contaminants. Some strains of Lb. casei produce diacetyl from citrate, but this species is used as a starter only by the Japanese in making fermented milk, yakult.

C.

Starter Function

Among the physiological functions of lactococci are several of great importance in cheese manufacturing and maturation, influencing the final organoleptic qualities of the cheese: Fermentation of sugars, leading to a pH decrease important in the clotting phenomenon and reduction or prevention of the growth of adventitious micro-flora Protein hydrolysis which causes the texture and, partially, taste of cheese Synthesis of flavor compounds Synthesis of texturing agents, which may influence the consistency of the product Production of inhibitory components Since the lipolytic activity of lactococci is very low, it has no major influence on the technology and, consequently, is not further treated here. 1.

Acid Production

Lactose is the major fermentable sugar found in milk at levels of 40– 50 g/L. The glucose moiety of lactose is used faster than the galactose moiety by lactococci. At the end of the growth phase, less than 0.5% of the lactose is used by lactococci.[23] The fermentation product of lactococci is L (þ)-lactic acid. Sugar Transport Across the Cell Membrane. The bacterial transport of lactose, glucose, and galactose across the cytoplasmic membrane has been well characterized. Two different mechanisms have been found: the permease and the phosphoenol

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Hoang-Dung TRAN and friends pyruvate-phosphotransferase (PEP/PTS) systems. The permease system is found in thermophilic species and the leuconostocs, and the PEP/PTS system in the lactococci. Lactose is transported via PTS. This system, composed of two enzymes and a soluble factor together with a thermoresistant protein, is PEP-dependent. In the PEP/PTS system lactose is transported into the cell via a complex system by which lactose is phosphorylated to lactose phosphate and thus transported across the cell wall. The lactose phosphate is hydrolyzed to glucose and galactose-6-phosphate by phospho-b-galactosidase (p-b-gal). Lactose can also be transported by a permease system. This system, which requires energy, uses the ATP of the cell. Inside the cell, lactose is hydrolyzed to glucose and galactose by b-galactosidase (b-gal). There are relatively few studies on the transport of lactose by thermophilic cultures. Contradictory results have been published about the transport of lactose in Str. thermophilus. Both permease and PEP/PTS systems [24] and only permease [25] have been suggested. Lactobacilli contain more b-gal than p-b-gal,[26] implying that permease is the most important transport system.

Carbohydrates Catabolism. After transportation, the sugars can be either lactose phosphate, glucose phosphate, galactose phosphate, or corresponding free sugars. These molecules can be metabolized by three different pathways. The lactose phosphate is hydrolyzed by a b-gal to give glucose and galactose-6-phosphate. Then, the glucose moiety is catabolized through the glycolysis pathway (Embden-Meyerhof-Parnas pathway), while galactose-6-phosphate is metabolized along the D -tagatose-6-phosphate pathway. Galactose is used in the Leloir pathway. Carbohydrate metabolism is controlled by both repression and retroinhibition. Repression is a mechanism that controls enzyme synthesis, and retroinhibition controls enzyme activity. 2.

Proteolytic Activity

All starter culture species are nutritionally fastidious, requiring many amino acids and growth factors for adequate growth. Lactic acid bacteria are only mildly proteolytic compared to, e.g., Bacillus and Pseudomonas. Lactic acid bacteria utilize the polypeptides generated by milclotting enzymes and by bacterial cell wall proteinases and therefore are responsible for the casein degradation. The combined action of proteinases and peptidases provides the cells with peptides and free amino acids. Then peptides and amino acids are transported across the membrane via specific transport systems. The internalized peptides are hydrolyzed by cytoplasmic peptidases. Proteinases. All milk proteins including whey proteins are available for hydrolysis in starter strains. It could be expected that more accessible proteins in the casein micelle, e.g., k- and b-casein, are hydrolyzed before as-casein.[27] This has been shown in lactococci. Lb. helveticus has been shown to attack as-casein and partly b-casein, and Lb. bulgaricus degrades all the major caseins, b-casein being most susceptible.[28,29] The proteolytic activity of Str. thermophilus is lower than that of lactococci and does not affect casein hydrolysis in cheese.[30] The proteinases of lactococci involved in the first step of casein breakdown are high molecular weight proteins located primarily in the cell wall. Their optimum pH is around 5.5 –6.5, their isoelectric point is between 4.4 and 4.55, and they are either activated or stabilized by Ca2þ ions.[31] Several studies describe three cell wall – associated proteinases. One of these is thought to be responsible for the bitterness of cheese.

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Hoang-Dung TRAN and friends These observations suggest an active role of the lactococcal proteinases in producing bitter peptides of medium size (tri- to hexapeptides) during cheese maturation.[32] The identification and characterization of cell wall – associated proteinases are under investigation. It is likely that the known number of different proteinases may change due to improved knowledge of their specificity and their genetic back-ground. Because spontaneous irreversibly proteinase-negative variants appear with high frequency, the involvement of plasmid DNA has been studied. Plasmids ranging in size from 13.5 to 100 kilobases (kb) are involved in proteinase production. Studies on proteinase localization have shown that they are attached to the cell wall by an “anchor” present at the C-terminal end of the protein. The removal of this anchor results in the release of the proteinase.[31] In addition, it seems that a membrane-located lipoprotein is involved in the activation of the proteinase. The role of this system, under the control of a gene called prt M, is not yet understood.

Peptidases. Casein degradation initiated by a milk-clotting enzyme and proteinases, which produce large peptides, continues with peptidases, which produce smaller peptides and amino acids. A number of peptidases has been described. Aminopeptidase, di- and tripeptidase, an arylpeptidyl-amidase, aminopeptidase P, proline-iminopeptidase, prolinase and prolidase, X-prolyl-dipeptidyl aminopeptidases, endopeptidases, and carboxypeptidases have been found in various lactococci. Unfortunately, the various studies cannot be compared because the methods used differed. A majority of peptidases are metal enzymes. It has been suggested that citrate and other carboxylic acids affect peptidase activity.[33] This is supported by the fact that in cheese where BD cultures are used, the amino acid nitrogen level is higher than in the control cheese prepared only with Lc. lactis ssp. lactis and Lc. lactis ssp. cremoris. Lactobacilli exhibit a wide range of peptidase activity. Aminopeptidase activity is especially high in Lb. helveticus,[34] but dipeptidase and caseinolytic activities do not vary much between Lb. helveticus, Lb. lactis, and Lb. bulgaricus strains.[35] Several peptidases with broad specificities have been isolated from Lb. casei NCDO 15 and 2 strains of and Lb. plantarum.[36] Being natural contaminants of cheese, these species could have a considerable effect on proteolysis, texture, and taste.[37]. The location of peptidases in the cell has not been determined.

3.

Aroma Formation

The flavor compounds produced by lactococci can be divided into two categories: the compounds in products of fermented milk, and the compounds present mostly in matured cheeses. The aroma compounds in fermented milk are mainly organic acids, lactic and acetic acid, produced by Lc. lactis ssp. lactis and Lc. lactis ssp. cremoris. Second, Lc. lactis ssp. lactis var. diacetylactis and Leconostoc ssp. produce acetaldehyde, diacetyl, acetoin, and 2, 3-butylene-glycol from citrate. It has been suggested that these arome compounds prevent pyruvate accumulation in the cell. The pyruvate metabolized from citrate by citrate lyase (or citritase) is toxic to the cell when its intracellular concentration is too high. Pyruvate is degraded in the cell in the presence of Mg2þ, Na2þ, and thiamine pyrophosphate. The lactococcal citrate metabolism pathway consists of enzymes the genetic determinant are in plasmids. Indeed, the studies carried out on this topic have shown that citrate-negative variants of a citrate have always lost a 5.5 megadalton plasmid.[23]

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Hoang-Dung TRAN and friends The impact of lactococci on the production of flavor compounds in ripened cheese is much more difficult to determine.[33] One of the reasons for this is that the lactococci play an indirect role in cheese flavor production. The peptidases generate di- or tripeptides and free amino acids, which are further metabolized to volatile compounds. No direct relationship has been established between the amino acid nitrogen and cheese flavor, even though it is known that the former influences the latter. Some key flavor compounds are present at nanogram concentrations, and analytical methods are inadequate. Nevertheless, better knowledge of proteolysis and peptidolysis in cheese, analysis of enzymatic systems of lactococci, and evaluation of different strains used in cheese production might allow us to establish a better correlation between lactococcal activity in cheese and flavor development. The aroma compounds in Swiss cheese have been reported to be produced by reactions between dicarbonyls and amino acids.[38] The dicarbonyls, glyoxal, methylglyoxal, dihydroxyacetone, and diacetyl have been found in Swiss, mozzarella, and cheddar cheeses and in cultures of Lb. bulgaricus, Lb. casei, S. thermophilus, and Propionibacterium shermanii.[39] Many varieties of cheese contain these species.

4.

Exopolysaccharide Formation (Ropiness)

Many strains of lactic acid bacteria produce exopolysaccharides (EPS). The form of EPS can be as a capsule closely attached to the bacterial cell or as loosely attached or excreted slime.[40] A comprehensive review has been published by Cerning.[41] Slime-forming lactic acid bacteria has been increasingly used in the dairy industry. This property has been utilized in Finland since the nineteenth century, especially in the production of a thick viscous fermented milk product, villi. The starters of this product contain mesophilic, slime-forming lactococcal strains together with aroma-producing lactococci and leuconostocs. At the end of the 1980s the production of thermophilic viscous yogurt starter cultures became more common. They are widely used to increase the rheological quality of yogurt and to inhibit syneresis of the coagulum. These starters are used, in some cases, to replace stabilizers in yogurt. There have also been some attempts to investigate the antitumor activity of slimeforming lactic acid bacteria.[42,43] The role of EPS in this phenomenon has yet to be elucidated. Production of EPS in mesophilic lactococci has been shown to be plasmid encoded.[44 – 46] This may explain the instability of slime production, especially in higher temperatures. However viscosity is unstable in thermophilic starter strains, although they do not contain plasmids.[41,47] EPS-forming bacteria are often considered to be more resistant to bacterio-phages than nonencapsulated ones. This is not the case among mesophilic lactococci, as these viscous strains are hosts for many phages [48] and a certain phage can also dissolve the capsular material of even nonhost strains.[49] The chemical composition of EPS of mesophilic and thermophilic lactic acid bacteria varies from strain to strain. All of them have been shown to contain galactose and glucose and sometimes hexose-like components and rhamnose (reviewed by Cerning,[41]). In some isolated capsular materials protein has been found, but the amino acid composition of this protein is similar to that of the whey.[50] Toba et al. [51] found that glucose, galactose, rhamnose, glycerol, and phosphorus form a capsular polysaccharide of Lactococcus lactis ssp. cremoris. It was thought to be a deacylated lipoteichoic acid. Nakajima et al. [52] isolated a phosphoruscontaining polysaccharide that contained rhamnose, glucose, and galactose but not glycerol.

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5.

Production of Inhibitory Components

The observation that lactic acid bacteria have some preserving effect dates back to the turn of the nineteenth century. According to the early research the organic acids from sugar fermentation were responsible for the good keeping quality of fermented foods. Thus, reduction of pH and production of organic acids (lactate, acetate) are the primary inhibitory actions of these bacteria. Few other bacteria are able to grow at pH values achieved by the action of lactic acid bacteria. Lactic acid bacteria produce other inhibitory substances, although in much smaller amounts. These include hydrogen peroxide, diacetyl, bacteriocins, and secondary reaction products such as hypothiocyanate generated by the action of lactoperoxidase on hydrogen peroxide and thiocyanate. Since many reviews have been written on this topic and there is a chapter in this book about the subject, only general remarks are presented here. Hydrogen peroxide is generated by different mechanisms by certain lactobacilli,[53] and accumulation of hydrogen peroxide in growth media can occur because lactobacilli do not possess catalase.[54] Antagonistic effect has been demonstrated against Staphylococcus aureus [55] and Pseudomonas spp.[56] The second system of inhibition, attributed to lactic acid bacteria and linked to hydrogen peroxide production, is the lactoperoxidase system (LPS).[57] To make this system efficient, certain components have to be present in milk. An enzyme, lactoperoxidase, reacts with two substrates: thiocyanate and hydrogen peroxide. The concentration of lactoperoxidase in milk is 10 –30 mg/mL. Thiocyanate (SCN2), widely distributed in animal secretions, is detected in milk at a concentration varying from 1 to 10 ppm. Hydrogen peroxide (H2O2) is produced in milk by lactic acid bacteria, even at low temperatures. Hydrogen peroxide can react with thiocyanate in a reaction catalyzed by lactoperoxidase to form an oxidation product, hypothiocyanate, which inhibits microorganisms.[58] Diacetyl imparts butter aroma, but it is also well recognized for its anti-microbial action. The inhibitory level by Jay [59] is 200 mg/mL for yeasts and gram-negative bacteria and 300 mg/mL for nonlactic, gram-positive bacteria. A relatively large amount is needed for inhibitory action, and thus the use of it in foods may be problematic. Bacteriocins are a heterogeneous group of antimicrobial substances in respect to bacteria production bacteria, antibacterial spectrum, mode of action, and chemical properties.[53] Bacteriocins of lactic acid bacteria have been the subject of wide research. The bacteriocins are defined as follows:[60] They generally have a narrow range of action. Part of the molecule is a peptide and therefore they are sensitive to proteases. They are thermostable. Bacteriocins produced by lactobacilli have been characterized from Lb. fermentum,[61] Lb. helveticus,[62] Lb. acidophilus,[63] and Lb. plantarum.[64] The two bacteriocins produced by lactococci, nisin and diplococcin, are well characterized. Nisin was found in 1928 by Roger and Whittier. The first application in Swiss cheese was done 1951 by Hirsch et al.,[65] and it was found to be effective in prevention of blowing (butyric acid fermentation) caused by clostridia. Nisin is effective against gram-positive species and also against Clostridium botulinum spores, which has made it useful in thermally processed foods. Recent investigations have also shown nisin to be inhibitory toward Listeria mono-cytogenes, a pathogen of great concern.[66]

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Hoang-Dung TRAN and friends Diplococcin, produced by L. lactis ssp. cremoris, is active only against L. lactis ssp. lactis and L. lactis ssp. cremoris. As diplococcin is more active against cells in the exponential growth phase than in the stationary phase, it is suggested that its targets include both RNA and DNA.[67]

III.

FACTORS INFLUENCING STARTER ACTIVITY

A.

Milk as a Growth Medium

Even though lactic acid bacteria are able to grow in milk, milk is not an optimal growth medium. For instance, addition of yeast extract can stimulate the production of lactic acid.[68] Variations in milk lead to modification of the physiological reactions of the microorganisms. It is well known that the origin of the cows, the geographic location, and the stage of location all cause variation in milk components. The average composition of cow’s milk is: Water, 905 g/L Lactose, 49 g/L Lipids, 35 g/L Protein, 34 g/L Salts, 9 g/L Other (vitamins, enzymes, etc.) traces The impact of lactic acid bacteria on the main components of milk involves uptake of fermentable sugars, proteins and peptides, citrate, and their corresponding enzymatic systems. Lactic acid bacteria have a very limited effect on milk fats. The remaining components of great importance in the nutrition of lactic acid bacteria are, on the one hand, vitamins and, on the other hand, nonprotein nitrogen (NPN). The vitamin requirements vary from species to species. Lactococci require niacin (PP), pantothenic acid (B5), pyridoxine (B6), and biotin (H). Thermophilic streptococci require pantothenic acid (B5) riboflavin (B2), thiamine (B1), niacin (PP), biotin, and pyridoxine. Lactobacilli require calcium pantothenate (B5), niacin (PP) and riboflavin (B2). In addition, Lb. lactis, Lb. bulgaricus, and Lb. acidophilus require cobalamin (B12). Nonprotein nitrogen represents 5– 70% of the total nitrogen in milk. The constitutive molecules of this fraction have an important role in the nutrition of lactic acid bacteria because of their direct uptake by the cell. The concentration of these components (containing fewer than eight amino acids) is usually too low to provide the required nutrients. Consequently, free amino acids (including free methionine, an essential amino acid) are not present in milk at sufficient levels to allow satisfactory growth of the cells.[68] B.

Inhibitory Compounds in Milk

The antimicrobial effects of milk have long been known, but not until 1927 were the agents identified by Jones and Little as lactenins, and afterwards divided into lactenin 1 (L1) and lactenin 2 (L2) by Auclair and Hirsch.[69] These antimicrobial substances were later referred to as red protein, i.e., lactoferrin.[70] Many antimicrobial factors have been identified since then, some derived from cow’s blood. Endogenous or exogenous factors can affect the starter activity in the starter tank or during the dairy process. These include variations in milk composition caused by mastitis or seasonal changes, agglutinins, dissolved oxygen, free fatty acids, inhibitory bacteria, the lactoperoxidase system, lysozyme, lactoferrin, residual sanitizers, and bacteriocins.[6,7,71 – 74]

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Hoang-Dung TRAN and friends Heat processing of milk and good manufacturing practices combined with intensive quality-control procedures have minimized the effect of most of the factors mentioned above. Therefore, they are not reviewed here in detail. The most important sources of problems in the dairy plant are antibiotic residues and bacteriophages. These are discussed further below.

1.

Antibiotic Residues

Antibiotics are the most important group of exogenous inhibitory factors because of their common use in the treatment of mastitis in dairy cows. Antibiotics were introduced in the 1940s for mastitis therapy. Today mastitis is still the most serious problem affecting cows, and it causes huge economic losses to dairies. There are also several health aspects associated with the problem, e.g., allergic reactions, intestinal disorders, and development of resistant bacteria.[75,76] To avoid residues in milk, the manufacturers of veterinary products are generally compelled to specify a withdrawal period for any product. However, individual differences between cows are known to exist, and thus general withdrawal times are not always valid. Strict penalty rules and improved testing systems have reduced the residue levels significantly. The number of antibiotics used is huge and still increasing, varying from country to country.[77] The most widely used group is b-lactam antibiotics and their derivatives, either alone or in combination. Other common antibiotic groups are amino-glycosides, tetracyclines, macrolides, and sulfa drugs.[78,79] The levels of antibiotics required to inhibit different starter strains are very strain dependent.[12,80] This can be seen in Table 1. Mesophilic cultures are less sensitive to penicillin and spiramycin and more susceptible to streptomycin and cloramphenicol than thermophilic cultures, but streptomycin-sensitive S. thermophilus starter strains have been found.[81] Little information is available on the levels of antibiotics required to inhibit leuconostocs or propionic acid bacteria used in hard cheeses. In an experiment to test the actual effect of low antibiotic levels on cheese produced by mesophilic (Edam cheese) and by thermophilic (Emmental cheese) starters, different antibiotics were added to the cheese vat. The results are presented in Table 2.

Table 1

Sensitivity of Thermophilic and Mesophilic Starters to Different Antibiotics Starter cultures Antibiotic

Penicillin, IU/mL Tetracycline, mg/mL Streptomycin, mg/mL Cloramphenicol, mg/mL Spiramycin, IU/mL

Thermophilica

Mesophilicb

0.004– 0.01 0.3– 0.5 0.5– 5.0 0.5– 1.0 0.3– 0.5

0.005 – 0.01 0.05– 0.2 0.5– 1.0 0.2– 0.3 2.0– 4.0

a

Thirty-two S. thermophilus strains tested. Single strains of Lactococcus lactis ssp. lactis/cremoris/diacetilactis and three mixed cultures (DL) tested. Source: A. Ma¨yra¨-Ma¨kinen, unpublished data.

b

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Table 2

Effect of Different Antibiotics at Low Concentrations on Edam and Emmental Cheese Quality Cheese quality Edama

Antibiotic Penicillin 0.003 IU/mL 0.005 IU/mL 0.008 IU/mL 0.01 IU/mL Spiramycin 1.01 IU/mL 5.0 IU/mL

No defects Tasteless Bitter, uneven body Strong off-flavor, uneven body Tasteless, uneven body, wet surface Strong off-flavor, uneven body, slimy surface

Emmentalb No defects Off-flavor, abnormal eye formation Strong off-flavor, butyric acid fermentation Not tested Smell of butyric acid, severe offflavor, uneven eye distribution Not tested

Streptomycin 1.0 mg/mL

Abnormal cheese, strong off-flavor

Brown spots in the body, strong off-flavor

Tetracycline 0.3 mg/mL 0.7 mg/mL

Tasteless Tasteless, strong smell on surface

Off-flavor Not tested

a

Evaluation at 14 weeks. Evaluation at 3 months. Source: A. Ma¨yra¨-Ma¨kinen, unpublished data. b

It can be concluded that low levels of antibiotics cause different kinds of defects in cheese: off-flavors, uneven texture, uneven eye formation, and butyric acid fermentation. Effects on propionic acid bacteria could be seen in eye formation of Emmental cheese and in browns-pot defect caused by streptomycin. In fermented milk products the effect of antibiotics is seen in slow or inhibited acid formation and in a decrease in aroma formation. 2.

Bacteriophages

Bacteriophages are viruses that specifically infect bacteria. After infecting bacterial cells, they use the cells’ enzymes to grow. After some time cells are lysed and bacterial growth is stopped. In the dairy industry, phages of lactic acid bacteria are of considerable economic importance because they represent one of the main causes of fermentation failure. Due to their economic importance, much work has been done to improve our knowledge of phage infection and bacterial phage mechanisms. Taxonomy. In order to differentiate the phages, various taxonomic criteria have been proposed. The most important of them, proposed for a taxonomic classification, are host range, morphology, serotyping, DNA/DNA hybridization, and structural protein profiles. 1.

Host Range: Strain rotation is more easily handled when the host range of a phage is known. But as this criterion cannot be correlated with others, it is a practical parameter rather than a real taxonomic characteristic.

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2.

3.

4.

Hoang-Dung TRAN and friends Morphology: Phages are submicroscopic particles consisting of a head containing the DNA and a tail. Morphological classification was proposed on the basis of electron microscopic observation. In phages of lactic acid bacteria, various morphologies are observed. The head, with either prolate, small isometric, or large isometric shape, has a size of 40– 70 nm. The tail measures between 100 and 500 nm. Serotyping: Antibodies have been prepared against pure phages in order to classify them in various groups. These groups have been compared with host range classes.[82] The results of these studies have been variable, indicating that the serological criteria are not sufficient to classify the majority of the phages. DNA/DNA Hybridization and Structural Protein Profiles: It has been possible to determine five groups of homology for a large number of phages of Lc. lactis by DNA/DNA hybridization (Prevots et al., 1990). The details of these five groups are given in Table 3. Groups I and III contain almost 80% of phages and include only virulent phages. Group II contains both virulent and temperate changes. The classification, based on structural protein profiles, allows the grouping of phages corresponding to the five DNA homology groups.[84]

Phage Development and Bacterial Resistance. Phage resistance mechanisms developed by lactic acid bacteria are correlated to the various steps of phage infection. First, the phage recognizes a molecular structure on the cell wall. This receptor allows the phage to adsorb on the cell surface. Second, the phage injects its chromosome inside the bacteria. The DNA penetration is Ca2þ-dependent and energy-requiring. In the next step, bacterial DNA is hydrolyzed, and the bacterial metabolism is used by the phage genome to develop new phage particles. In the last step, a lytic enzyme or lysin is synthesized by the phage to make the cells burst. As a rule, an average of 100 phages per bacteria are released into the milk. Several, lactic acid bacteria have developed mechanisms to resist phage attack.[85] Most of the known mechanisms are coded by plasmids and, therefore, may be transferred from one cell to another. Four mechanisms are well described: 1.

Table 3

Adsorption: Phage-resistant strains have mutated cell-wall structures, recognized as receptors by phages. The phage fails to adsorpt on cell surface and therefore does not infect the strain.

Classification of Lactococcal Bacteriophages by DNA/DNA Hybridization

DNA homology group I II III IV V

Percent of phages of the group

Head morphology

Genome size (kb)

29 21 48 1 1

Prolate Small isometric Small isometric Large isometric Large isometric

19 – 22 30 – 40 30 – 35 53 134

Source: Ref.[83].

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3.

4.

IV.

187

Hoang-Dung TRAN and friends Restriction-Modifications: The restriction-modification system combines restriction enzymes, capable of specific endonucleolytic activity, with a modification enzyme, generally exhibiting specific DNA methylation activity. This methylation protects the DNA from the corresponding restriction enzyme. The unmodified phage chromosome is hydrolyzed by the restriction enzymes as soon as it enters the cytoplasm and, consequently, is degraded. Abortive Infection: In the case of abortive infection, all the phases of the infection occur. But, due to an unknown phenomenon, the burst size is very low. So, each attacked cell releases very few phages in the medium. Little or no disturbance is observed in the growth rate and acidification during cheese making. Lysogenic Immunity: This is observed when the bacterial chromosome harbors the DNA of a lysogenic phage. The prophage probably codes for molecules, which inhibit the development of other related phages and render the strain resistant.

USE OF STARTERS IN THE DAIRY PROCESSES

There have been considerable changes in the cultivation of starters in dairy processing. The starters available are sold in different forms by several starter producers. Starters are the most important factors determining the final quality and properties of the product. Therefore, the selection of starter type and form is very important for the individual dairy plant. General practical steps in the preparation of starters are discussed here, including the traditional systems (liquid starters), since they are still in practice, besides the increasing use of concentrated starters. The four alternative commercially available forms of starter cultures are shown in Fig. 1. In the traditional liquid starter system the starter is first cultivated as a liquid stock culture, and the desired volume is reached by successive subcultures. The stock culture comes weekly from a central laboratory or from the plant’s own culture. The procedure is thus expensive, laborious vulnerable, and needs skilled personnel to manage it. The starters are easily contaminated during the numerous inoculations or infected by bacteriophages. Still, liquid starters are widely used, especially where local special products are made or where the transportation of starters from a central laboratory is easy and regular. Freeze-dried cultures can also be used for producing a mother culture or bulk starter in cases where a small amount of starter is needed. They can be stored for several months at 2258C, and thus the plant can use the same production lot for months. In the case of mixed-strain cultures the strains should be freeze-dried separately in order to avoid changes in balance. The modern systems of concentrated frozen and concentrated freeze-dried cultures have made it possible to directly inoculate the bulk starter or the production process itself. This causes significant savings in labor and material costs in the dairy. The production technology of concentrated frozen starters was developed during the 1960s. These starters require low temperatures during shipment and storage. In 1970 the freeze-drying technique was developed to make use and transportation still easier. There are several advantages to the use of concentrated and concentrated freezedried starters[86,87] they are easy to use, the quality is even, activity is good and can be

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Figure 1

Alternative starter types used in dairy product manufacture and cultivation steps in the dairy process.

tested prior to use, they require less labor and are easily adapted to a five-day production week, and bacteriophage control is easier to manage. On the other hand, there are also disadvantages.[87] The shipment of frozen starters is precarious since temperature changes affect the starter activity, the storage temperature is critical, and thus the activity has to be controlled in the dairy plant. The selection of starters with respect to quality of the final product is not made by the dairies but by the starter producers. Not all good traditional milk starters are suitable for production as concentrated freeze-dried starters. Despite these disadvantages, starter research is strongly oriented to production techniques and strain selection in order to produce active, directly-to-vat starters. V.

STARTER CULTURES FOR FERMENTED MEAT AND VEGETABLE PRODUCTS

The growth of lactic acid bacteria in milk to produce fermented dairy products is based on a few simple principles: lactic acid bacteria are present, among other bacteria, in several niches. When the physical conditions (such as temperature, water activity, and pH) allow growth, there is a competition between various species. The faster development of lactic acid bacteria and the pH decrease due to acid production lead to microbiologically stable fermented products. These basic phenomena of bacterial ecology have been used to produce meat products such as sausages and fermented vegetables. For sausage preparation, beside the meat slurry, fermentable sugars, salt, and spices, pediococci such as P. acidilactici, Lb. plantarum, and Staphylococcus carnosus are generally inoculated. The first incubation period (time and temperature adapted to the

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Hoang-Dung TRAN and friends technology) allows the bacteria to grow, and the pH decrease is measured. Thereafter the sausages are cooled and aged to obtain the final product. Widely available fermented vegetables include sauerkraut, pickled cucumbers, and green olives. Usually, cabbage, cucumbers, and olives are fermented with Lb. plantarum. P. cerevisiae, P. pentosaceus, Leuconostoc mesenteroides, or Lb. brevis can also be used.[88] During the preparation of these products, NaCl brine is added. The combination of NaCl and lactic acid makes the fermented vegetables stable for a long period of time at room temperature. The salinity also controls the growth of lactic acid bacteria, thereby influencing the quality of the end product.

VI.

PRODUCTION OF STARTERS ON AN INDUSTRIAL SCALE

The interest in producing concentrated frozen starters began during 1960s with research on mesophilic single strains and especially cheddar cheese starters. Kosikowski[89] and Bergere and Hermier[90] were the first to use neutralization to increase the bacteria count in fermentations about 100-fold in concentrated cultures. Methods to produce concentrated cultures differ in several ways from traditional ones. Starter strains are grown under strictly controlled conditions in a medium from which the cells are easily harvested into a smaller volume.[87] The process is very stressful for the starter strains and new selection criteria must be used. Only about 25 – 50% of traditionally used strains are suitable for the production of concentrated, freeze-dried cultures.[91] Starter concentrate production can be divided into the following general steps, which have been described in detail by Porubcan and Sellars,[92] Gilliland,[87] and Tamine and Robinson:[80] Preparation of the inoculum Preparation of the media Fermentation at constant pH Harvesting the culture Adding the cryoprotectant Freezing Freeze-drying Packing and storing A.

Fermentation of Starter Cultures

To produce active and storage-stable concentrated cultures, several strain-dependent factors have to be checked concerning the growth medium and growth conditions. Industrial-scale production of cultures involves batch fermentations, which are simpler and more convenient than continuous fermentation processes. There are several problems with using continuous fermentations: undesirable contamination is possible, complex equipment is associated with difficulties in production schedules, and bacteriophage problems have also been reported.[93] 1.

Growth Medium

To choose the growth medium, the following aspects must be considered: cost, ability to produce a high number of cells (about 10 –15 times higher cell densities that in liquid milk culture) with high activity, and effect on the harvesting methods.[86] It is generally

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Hoang-Dung TRAN and friends accepted that some milk solids should be included in the growth medium to ensure the synthesis of necessary enzymes for starters to perform well in milk and to maintain a balance between strains in multiples-strain starters when fermented as a mixed culture.[94] The use of cheese whey and whey permeate as growth media has been investigated primarily because they are inexpensive and contain nutrients that are used by starter strains for growth. Whey alone is not rich enough for maximum growth, and much of the research has involved supplementing whey with extra nutrients. In addition, improper heating causes precipitation in the medium, and clarification might be necessary to avoid this material in concentrated starter culture.[93,95] Skim milk has been the most common medium for lactococci, and the difficulties in harvesting have been solved by adding sodium citrate to solubilize milk proteins.[94] A variety of different nutrients are needed for starter strains in the culture medium. Porubcan and Sellars.[92] divided them into four groups, and the first group of complex nutrients—skim milk, whey, yeast extract, and peptones—are used to satisfy the complex demands of starters if there is no way to determine the exact growth factors during the fermentation process. With certain nutrients or additives the resistance of cultures against subsequent concentration/freezing/drying processes can be improved. The methods are strain-dependent. The activity and the bacterial count of Lb. bulgaricus after freezing at 21968C increases considerably if the cells have been grown in an appropriate medium supplemented with Tween 80.[96] The same results have been reported for cultures frozen at 2178C. Oleic acid in Tween 80 was identified as the effective component to increase process stability by raising the levels of a C19 cyclopropane fatty acid in the lipid fraction of cells.[97] Most fatty acids of bacterial cells are located in the cell membrane, and it can be assumed that the membrane composition is very important for the cells to survive freezing, perhaps by increasing membrane flexibility.[87] It has also been noted that lactococci survive freezing at 21968C better than lactobacilli, regardless of the growth medium. This could be because lactococci naturally contain higher levels of C19 cyclcopropane fatty acid.[98] The ratio of unsaturated to saturated fatty acids in cell membranes also seems in some cases to be related to the ability of lactococci and lactobacilli to survive freezing. By increasing the ratio, survival at 2178C has improved.[97] The addition of 100 mM—1 mM calcium has been shown to influence the freezing resistance of lactobacilli and change the cell morphology from long chains to short individual cells. Manganese and magnesium did not have this effect.[99,100]

2.

Growth Conditions

The conditions during the fermentation affecting the growth and activity of cultures are temperature, pH, mixing (oxygen content), and type of neutralizer used. Also, the optimum cooling/harvesting time relative to the growth curve has to be considered. Usually the optimum growth temperature of the species is used in fermentation,[101,102] but few research results have been published on the effect of temperature on process stability. When growing mixed cultures, Bauman and Reinbold[103] reported better freezing stability at 2208C when a temperature of 328C had been used during fermentation. With thermophilic cultures it has been noticed that, compared to the optimum growth temperature, a decrease or increase in the growth temperature strain dependence affects the dechaining of cultures and thus also process stability in freezing and freezedrying (A. Ma¨yra¨-Ma¨kinen, unpublished data).

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Hoang-Dung TRAN and friends Maintaining the pH of the growth medium at the optimum level increases the number of cells.[104,105] Both the optimum pH of the culture and type of neutralizer used are of importance. Most research has been done with lactococci, whose optimum pH is in the range of 6 – 6.5.[93,106,107] Ammonium hydroxide seems in general to be the best neutralizer in order to achieve higher cell yields in mixed cultures[93] and more freezing-resistant cultures at 2308C.[108] The optimum pH of thermophilic lactobacilli, Lb. helveticus, Lb. lactis, and Lb. bulgaricus, is 5.4 – 5.8, depending on the strain. Higher yields of these species are obtained with ammonium hydroxide as the neutralizer (A.Ma¨yraMa¨kinen, unpublished data). Cooling and harvesting at certain stages of the growth curve are critical for some cultures. For lactococci, harvesting is recommended at the end of the logarithmic growth phase. Str. thermophilus cultures lose activity fast if cooling and harvesting is delayed to the stationary phase. On the other hand, many lactobacilli can be harvested irrespective of the growth phase without losing activity (A.Ma¨yra¨-Ma¨kinen, unpublished data). Increasing the growth seems to be a combination of several factors, of which the formation of lactate salts is considered to be the most important.[92] To reach the maximum bacterial level in the fermentation, the factors limiting growth have to be considered, in addition to the type and amount of nutrients adequate for optimal growth. In order to maintain constant pH continuous agitation is needed. As a result, oxygen toxicity has been observed in culturing some lactococci.[109] Oxygen can also cause the production of hydrogen peroxide by some starter strains, which can be autoinhibitory. By adding catalase or other reducing agents, on the accumulation of H2O2 can be prevented.[110] Other toxic metabolites can be formed in the growth medium; D -leucine formation has been reported in lactococcal cultures by Gilliland and Speck.[111] Sparging carbon dioxide can be an effective way to avoid the toxicity of oxygen and is actually needed for optimal growth of some starters.[101,106] It can be concluded that the basis for active, process-stable culture is built during the fermentation by modifying the growth media and conditions so that they are straindependent. Especially important factors to be checked for industrial production are:

Dechaining effect of certain components in medium Temperature optimum to produce process-resistant strains (not always the growth optimum) pH optimum for growth and further processing Harvesting time at certain point of growth curve Process resistance as selection criterion for starter strains B.

Concentration of Fermented Cultures

Centrifugal separation or membrane processes can be used for harvesting cells from the medium. Centrifugation is mostly used on an industrial scale because the low viscosity of the medium, the properties of the cells, the large cell size, and higher temperatures favor this technique. The temperature is usually kept between 5 and 158C, depending on the strain.[92] Very little has been published about concentration of thermophilic lactobacilli. According to Porubcan and Sellars,[92] it is difficult to concentrate Lb. bulgaricus, Lb. lactis, and Lb. acidophilus from milk-based cultures by centrifugation, even with the addition of citrate. Porubcan and Sellars[92] also reported industrial-scale ultrafiltration

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Hoang-Dung TRAN and friends of lactococci. An approximate 12-fold concentration can be reached by ultrafiltration without any cell damage caused by heat developing during the process. Microfiltration processes with ceramic filters are becoming an important method, especially in concentrating processsensitive cultures.

C.

Handling of the Concentrate

Cryoprotectants have long been used to improve the ability of culture concentrates to survive freezing, frozen storage, and freeze-drying. Most of the research on freeze-dried cultures has been done with lactococci. The resistance of cultures against the deleterious effects of freeze-drying can be improved by cryoprotectants.[112] A variety of different cryoprotectants are used[113] but the most common ones in industrial production are lactose or sucrose (7%), monosodium glutamate (5%), and ascorbate in a milk or water base. Glycerol is widely used in frozen cultures, but there seems to be a variation among cultures, and for some cultures glycerol is not effective.[114] Lactose (7.5%) has been used with good results, but for some cultures again no effect has been seen.[107] According to several reports it seems that cryoprotectants are not needed if the concentrate is active, freezing is fast (.18C/s), and storage is at 21968C.[105,115] Freezing can affect the activity of cultures strain-dependently. The most efficient and widely used method is fast-freezing in liquid nitrogen in the form of pellets, which are easy to use as a frozen concentrate or to freeze-dry.[22,116] The use of liquid nitrogen is expensive. Therefore, in many cases 2408C freezing and storing temperature is also used. The extensive report of Morichi[112] concerning the mechanisms and cryoprotectants involved in freeze-drying gives a view of this complex area. Although possible mechanisms of cryoprotection have been proposed by Fennema et al.,[113] further research is needed to improve the “freeze-drying resistance” of cultures. The pH of the concentrate affects the activity during storage. The activity of a mesophilic mixed-culture concentrate with a pH of 5.2 was lower than that of a concentrate with a pH of 6.6 after frozen storage.[117] The optimum concentrate pH for lactobacilli is 5.4 – 5.8. A lower pH does not seem to have any effect on the activity after freeze-drying. Str. thermophilus cultures, on the other hand, lose activity easily if the pH of the concentrate is below the optimum 6.2 –6.6 (A.Ma¨yra¨-Ma¨kinen, unpublished data). The activity of a culture can be maintained if storage is carried out under recommended conditions. The shelf life depends on the form of starter culture (frozen or freeze-dried) and the storage temperature: the lower the temperature, the longer the shelf life. Frozen concentrates are stored at 2408C, and activity remains good for at least 6 months. Freeze-dried products are stored at 220 to 2408, and short-term refrigeration does not usually decrease activity. Again, there are great differences in storage stability between cultures.

VII.

FUTURE TRENDS

As explained in this chapter, as far as technology is concerned, the important characteristics of the bacterial strains are being increasingly well understood and measured. The studies carried out in this area have been done mostly with pure strains. Knowledge needs to be improved in the understanding of the global behavior of a culture composed of several strains. Studies must focus on the relationship between the constitutive strains of

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Hoang-Dung TRAN and friends a mixture. Understanding the symbiotic and inhibitory phenomena between strains is of prime importance for the control of the cultures used in fermented products. The second main direction followed by researchers is in genetics. These programs aim at implementing new characteristics in technologically interesting strains. For example, besides acidification, it would be useful to have strains producing bacteriocins in order to manufacture fermented products in which raw materials should not be heat treated, such as sausage, silage, or vegetable products, and where the contaminant level could be reduced by the action of modified lactic acid bacteria. To make these techniques feasible, one must achieve the following:

Identify the corresponding genetic determinant of certain physiological characteristics Use methods that allow a stable transfer of genes Dispose of vectors donor and recipient strains of the same species in order to obtain a GRAS microorganism Solve regulatory problems and constraints related to genetically modified microorganisms

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Petersson, H.E. Mesophilic starters. Bull. Int. Dairy Fed. 1988, 227, 19. Whitehead, H.R. Bacteriophage in cheese manufacture. Bacteriol. Rev. 1953, 17, 109. Lawrence, R.C.; Pearce, L.E. Cheese starters under control. Dairy Ind. Int. 1972, 37, 73. Heap, H.A.; Lawrence, R.C. The selection of starter strains for cheesemaking. NZ J. Dairy Sci. Technol. 1976, 11, 16. Limsowtin, G.K.Y.; Heap, H.A.; Lawrence, R.C. A multiple starter concept for cheesemaking. NZ J. Dairy Sci. Technol. 1977, 12, 101. Lawrence, R.C.; Heap, H.A.; Limsowtin, G.K.Y.; Jarvis, A.W. Cheddar cheese starters: current knowledge and practices of phage characteristics and strain selection. J. Dairy Sci. 1978, 61, 1181. Hull, R.R. Control of bacteriophages in cheese factories. Aust. J. Dairy Technol. 1977, 32, 65. Huggins, A.R.; Sandine, W.E. Selection and characterization of phage-insensitive lactic streptococci. J. Dairy Sci. 1979, 62, 70. Richardson, G.H.; Hong, G.L.; Ernstrom, C.A. Defined single strains of lactic steptococci in bulk culture for cheddar and Monterey cheese manufacture. J. Dairy Sci. 1980, 63, 1981. Danielle, S.D.; Sandine, W.E. Commercial use of a multiple strain starter of known composition in cheddar cheese manufacture. J. Dairy Sci. 1979, 62, 70. Daly, C. The use of mesophilic cultures in the dairy industry. Antonie van Leewenhoek 1983, 49, 297. Cogan, T.M.; Daly, C. Cheese Starter Culture Cheese: Chemistry, Physics and Microbiology; Fox, P.F., Ed.; 1987; Vol. 1, 179 pp. Stadhouders, J.; Leenders, G.J.M. Spontaneously developed mixed-strain cheese starters. Their behaviour towards phages and their use in the Dutch cheese industry. Neth. Milk Dairy J. 1984, 38, 157. Steffen, C. Cheesemaking and cheese research in Switzerland. IDF Doc. 1980a, 126, 16. Steffen, C. Das neue Kulturenkonzept fu¨r die schweizerischen Ka¨sereien. Deutsche MolkereiZeitung 1980b, 101, 1186. Rousseaux, P.; Vassal, L.; Valles, E.; Auclair, J.; Mocquota, G. The use of concentrated frozen suspensions of thermophilic lactic acid bacteria in making Gruyere cheese. Le Lait 1968, 48, 241.

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Turner, K.W.; Martley, F.G. Galactose fermentation and classification of thermophilic lactobacilli. Appl. Environ. Microbiol. 1983, 45, 1932. Driessen, F.M.; Kingma, F.; Stadhouders, J. Evidence that Lactobacillus bulgaricus in yogurt is stimulated by carbon dioxide produced by Streptococcus thermophilus. Neth. Milk Dairy J. 1982, 36, 135. Pette, J.W.; Lolkema, H. Yogurt I. Symbiosis and antibiosis in mixed cultures of Lb. bulgaricus and Str. thermophilus. Neth. Milk Dairy J. 1950, 4, 197. Botazzi, V.; Battistotti, B.; Vescovo, M. Continuous production of yogurt cultures and stimulation of Lactobacillus bulgaricus for formic acid. Milchwissenschaft. 1971, 26, 214. Bracquart, P.; Lorient, D. Effet des acides amines et peptides sur la croissance de Streptococcus thermophilus. III. Peptides comportant Glu, His et Met. Milchwissenschaft. 1979, 34, 676. Accolas, J.-P.; Veaux, M.; Auclair, J. Etude des interactions entre diverses bacte´ries lactiques thermophiles et me´sophiles, en relation avec la fabrication des fromages a` pate cuite. Le Lait 1971, 51, 249. Desmazeaud, M. L’etat des connaissances en matiere de nutrition des bacterins lactiques. Le Lait 1983, 63, 267– 316. Hemme, D.; Nardi, M.; Jette, D. Beta-galactosidases et phospho-beta-galactosidases de Strepococcus thermophilus. Le Lait 1980, 60, 595. Tinson, W.; Hillier, A.J.; Jago, G.R. Metabolism of Streptococcus thermophilus. Utilization of lactose, glucose and galactose. Aust. J. Dairy Sci. Technol. 1982, 37, 8. Premi, L.; Sandine, W.E.; Elliker, P.R. Lactose-hydrolyzing enzymes of Lactobacillus species. Appl. Microbiol. 1972, 24, 51. Thomas, T.D.; Mills, D.E. Nitrogen sources for growth of lactic streptococci in milk. NZ J. Dairy Sci. Technol. 1981, 16, 43. Ezzat, N.; El-Doda, M.; Boullane, D.; Zevaco, C.; Blanchard, P. Cell wall associated proteinases in Lactobacillus helveticus, Lactobacillus bulgaricus and Lactobacillus lactis. Milchwissenschaft 1985, 40, 140. Chandan, R.C.; Argyle, P.J.; Mathison, G.E. Action of Lactobacillus bulgaricus proteinase preparations on milk proteins. J. Dairy Sci. 1982, 65, 1408. Thomas, T.D.; Pritchard, G.G. Proteolytic cuzymes of dairy starter cultures. FEMS Microbiol Rev. 1987, 46, 245. Kok, J. Genetics of the proteolytic system of lactic-acid bacteria. FEMS Microboil. Rev. 1990, 87, 15. Lemieux, L.; Simard, R.E. Biter flavour in dairy products. I. A review of the factors likely to influence its development, mainly in cheese manufacture. Le Lait 1991, 71, 599. Olson, N.F. The impact of lactic acid bacteria on cheese flavor. FEMS Microbiol. Rev. 1990, 87, 131. Ezzat, N.; El-Doda, M.; Desmazeaud, M.J.; Ismail, A. Peptide hydrolases from thermobacterium group of lactobacilli. III. Characterization of the intracellular exopeptidases. Le Lait 1986, 66, 445. Atlan, E.; Laloi, P.; Portalier, R. Isolation and characterization of aminopeptidase-deficient Lactobacillus bulgaricus mutants. Appl. Environ. Microbiol. 1989, 55, 1717. Abo-Elnaga, I.G.; Plapp, R. Peptidases of Lactobacillus casei and L. plantarum. J. Basic Microbiol. 1987, 27, 123. Puchades, R.; Lemieux, L.; Simard, R.E. Evolution of free amino-acids during the ripening of cheddar cheese containing added lactobacilli strains. J. Food Sci. 1989, 54, 885. Griffith, R.; Hammond, E.G. Generation of Swiss cheese flavor components by reactions of amino acids with carbonyl compounds. J. Dairy Sci. 1989, 72, 604. Bednarski, W.; Gedrychowski, L.; Hammond, E.G.; Nikolov, Z.L. A method for determination of a-dicarbonyl compounds. J. Dairy Sci. 1989, 72, 2474.

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Sutherland, I.W. Bacterial exopolysaccharides, their nature and production. In Surface Carbohydrates of the Procaryotic Cell; Sutherland, I.W., Ed.; 1977; 27 pp. Cerning, J. Exocelular polysaccharides produced by lactic acid bacteria. FEMS Microbiol. Rev. 1990, 87, 113– 130. Forse´n, R.; Heiska, E.; Herva, E.; Arvilommi, H. Immunobiological effects of Streptococcus cremoris from cultured milk “villi”, application of human lymphocyte culture techniques. Int. J. Food Microbiol. 1987, 5, 41. Oda, M.; Hasegava, H.; Komatsu, S.; Kambe, M.; Tsuchiya, F. Antitumor polysaccharide from Lactobacillus sp. Agric. Biol. Chem. 1983, 47, 1623. Neve, H.; Geis, A.; Teuber, M. Plasmid-encoded functions of ropy lactic acid streptococcal strains from Scandinavian fermented milk. Biochemie. 1988, 70, 437. Vedamuthu, E.R.; Neville, J.M. Involvement of a plasmid in production of ropiness (mucoidness) in milk cultures by Streptococcus cremoris MS. Appl. Environ. Microbiol. 1986, 51, 677. Von Wright, A.; Tynkkynen, S. Construction of Streptococcus lactis ssp lactis strains with a single plasmid associated with mucoid phenotype. Appl. Environ. Microbiol. 1987, 53, 1385. Vescova, M.; Scolari, G.L.; Bottazzi, V. Plasmid-encoded ropiness production in Lactobacillus casei ssp. casei. Biotechnol. Lett. 1989, 11, 709 – 712. Saxelin, M.L.; Nurmiaho, E.L.; Merila¨inen, V.; Forse´n, R. Ultrastructure and host specificity of bacteriophages of Streptococcus cremoris, Streptococcus lactis subsp. diacetylactis, and Leuconostoc cremoris from Finnish fermented milk “viili”. Appl. Environ. Microbiol. 1986, 52, 771. Saxelin, M.L.; Nurmiaho, E.L.; Korhola, M.P.; Sundman, V. Partial characterization of a new C3type capsule-dissolving phage of Streptococcus cremoris. Can. J. Microbiol. 1979, 25, 1182. Macura, D.; Townsley, P.M. Scandinavian ropy milk-identification and characterization of endogenous ropy lactic streptococci and their extracellular excretion. J. Dairy Sci. 1984, 67, 735. Toba, T.; Kotani, T.; Adachi, S. Capsular polysaccharide of a slime-forming Lactococcus lactis ssp. cremoris LAPT 3001 isolated from Swedish fermented milk “la˚ngfil”. Int. J. Food Microbiol. 1991, 12, 167– 172. Nakajima, H.; Toyoda, S.; Toba, T.; Itoh, T.; Mukai, T.; Kitazawa, H.; Adachi, S. A novel phosphopolysaccharide from slime-forming Lactococcus lactis subspecies cremoris SBT 0495. J. Dairy Sci. 1990, 73, 1472. Daeschel, M.A. Antimicrobial substances from lactic acid bacteria for use as food preservatives. Food Technol. 1989, 43, 164. Kandler, O.; Weiss, N. Genus Lactobacillus. In Bergey’s Manual of Systematic Bacteriology; P.H.A., Ed.; Williams and Wilkins: Baltimore, MD, 1986; Vol 2. Dahiya, R.S.; Speck, L.L. Hydrogen peroxide formation by lactobacilli and its effect on Staphylococcus aureus. J. Dairy Sci. 1968, 51, 1568. Price, R.J.; Lee, J.S. Inhibition of Pseudomonas species by hydrogen peroxide producing lactobacilli. J. Milk Food Tech. 1970, 33, 13. Piard, J.C.; Desmazeaud, M.J. Inhibiting factors produced by lactic acid bacteria. I. Oxygen metabolites and catabolism end products. Le Lait 1991, 71, 525. Bjo¨rck, L. The lactoperoxidase system. In Natural Antimicrobial Systems; IDF: Brussels, 1985; 18– 30. Jay, J.M. Antimicrobial properties of diacetyl. Appl. Environ. Microbiol. 1982, 44, 525. Juillard, V.; Spinner, H.E.; Desmazeaud, M.J.; Boquien, C.Y. Phenomenes de co-operation et d’inhibition entre les bacteries lactiques utilises en industrie laitie´re. Le Lait 1987, 67 (2), 149. De Klerk, H.C.; Smit, J.A. Properties of a Lactobacillus fermenti bacteriocin. J. Gen. Microbiol. 1967, 48, 309. Upreti, G.C.; Hinsdill, R.D. Production and mode of action of Lactocin 27. Bacteriocin from a homofermentative Lactobacillus. Antimicrobiol. Agents Chemo-ther. 1975, 7, 139.

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Muriana, P.M.; Klaenhammer, T.R. Conjugal transfer of plasmid-encoded determinants for bacteriocin production and immunity in Lactobacillus acidophilus 88. Appl. Environ. Microbiol. 1987, 53, 553. Daeschel, M.A.; McKenney, M.C.; McDonald, L.C. Characterization of a bacteriocin from Lactobacillus plantarum. Abstracts, 86th Ann. Meeting, Am. Soc. Microbiol. 1986; 277 pp. Hirsch, A.; Grinsted, E.; Chapman, H.R.; Mattick, A.T.R. A note on the inhibition of an anaerobic sporeformer in Swiss-type cheese by a nisinproducing streptococcus. J. Dairy Res. 1951, 18, 205. Harris, L.J.; Daeschel, M.A.; Stiles, M.E.; Klaenhammer, T.R. Anti-microbial activity of lactic acid bacteria against Listeria monocytogenes. J. Food Protect. 1989, 52, 384. Klaenhammer, T.R. Bacteriocins of lactic acid bacteria. Biochemie. 1988, 70, 337. Desmazeaud, M. Le lait: milieu de culture. Microbiol. Aliment Nutr. 1990, 8, 313 – 325. Auclair, J.E.; Hirsch, A. The inhibition of micro-organisms by raw milk. The occurrence of inhibitory and stimulatory phenomena. Method of estimation. J. Dairy Res. 1953, 20, 45. Ashton, D.H.; Busta, F.F. Milk components inhibitory to Bacillus stearothermophilus. J. Dairy Sci. 1968, 51, 842. Korhonen, H. Untersuchungen zur Bakterizidie der Milch und Immunisierung der boonier Milch driise, University of Helsinki, Meijeritiet, Aikak, 1973; Thesis, 32 pp. Stadhouders, J. Dairy starter cultures. Milchwissenschaft. 1974, 29 (6), 329. Bjo¨rck, L.; Rosen, G.-G.; Marshall, V.; Reiter, B. Antibacterial activity of the lactoperoxidase system in milk against Pseudomonas and other gram-negative bacteria. Appl. Microbiol. 1975, 30, 199. Carlsson, J.; Iwami, Y.; Yamada, T. Hydrogen peroxide excretion by oral streptococci and effect of lactoperoxidase-thiocyanate-hydrogen peroxide. Infect Immun. 1983, 40, 70. Dewdney, J.M. Immunology of the antibiotics. In The Antigens IV; Sela, M., Ed.; Academic Press: New York, 1977. Dewdney, J.M.; Edwards, R.G. Penicillin hypersensitivity—is milk a significant hazard? A review. J. R. Soc. Med. 1984, 77, 866. Ziv, G. Availability and usage of new antibacterial drugs in Europe. J. Am. Vet. Med. Assoc. 1980, 176, 1122. Archimbaut, P. Persistence in milk of active antimicrobial intramammary substances. In Proc. 2nd Symp. European Assoc. Veterinary Pharmacology and Toxicology; Ruckebusch, V., Toutain, P.-L., Koritz, G.D., Eds.; MTP Press: Lancaster, 1983. ˚ . Detection of Inhibitory Substances in Milk; Swedish University of Agricultural Carlsson, A Sciences, 1991; Thesis Report 6. Tamine, A.Y.; Robinson, R.K. Yoghurt Science and Technology; Pergamon Press: Oxford, 1985. Ma¨yra¨-Ma¨kinen, A. T101-test for antibiotic residues in milk. Scand. Dairy Inf. 1990, 4 (2), 38. Mata, M.; Ritzenthaler, P. Present state of lactic acid bacteria phage taxonomy. Biochemie. 1988, 70, 395. Prevots, F.; Mata, M.; Ritzentmaler, P. Taxonomic differentiation of 101 lactococcal bacteriophages and characterization of bacteriophages with unusually large genomes. Appl. Environ. Microbiol. 1990, 56 (7), 2180. Relano, P.; Mata, M.; Bonneau, M.; Ritzenthaler, P. Molecular characterization and the comparison of 38 virulent and temperate bacteriophages of Streptococcus lactis. J. Gen. Microbiol. 1987, 133, 3053. Sanders, M.E. Phage resistance in lactic acid bacteria. Biochemie. 1988, 70, 411. Stanley, G. The manufacture of starters by batch fermentation and centrifugation to produce concentrates. J. Soc. Dairy Technol. 1977, 30, 36. Gilliland, S.E. Concentrated starter cultures. In Bacterial Starter Cultures for Foods; Gilliland, S.E., Ed.; CRC Press: Boca Raton, FL, 1985; 145 pp.

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Boisen, H. Selection of bacterial strains for the food industry and their applications in various food products. IFST Annual Symp., 1981. Kosikowski, F. Cheese and Fermented Foods; Edwards Brothers: Ann Arbor, MI, 1966; 20 pp. Bergere, J.-L.; Hermier, J. La production massive de cellules de Streptocoques lactiques. II. Croissance de “Streptococcus lactis” dans un milieu A pH constant. Le Lait 1968, 13, 471– 472. Priidak, T.A.; Bannikova, L.A. Selection of lactic acid bacteria for production of cultured concentrate. Int. Dairy Congr. 1982, 357. Porubcan, R.S.; Sellars, R.L. Lactic starter culture concentrates. In Microbiology; Peppler, H.T., Ed.; Van Nostrand Reinhold: Princeton, NJ, 1979; 59 pp. Lloyd, G.T.; Pont, E.G. An experimental continuous culture unit for the production of frozen concentrated cheese starters. J. Dairy Res. 1973, 40, 149. Stadhouders, J.; Jansen, L.A.; Hup, G. Preservation of starters and mass production of starter bacteria. Neth. Milk Dairy J. 1969, 23, 182. Mitchell, S.L.; Gilliland, S.E. Pepsinized sweat whey medium for growing Lactobacillus acidophilus for frozen concentrated starters. J. Dairy Res. 1983, 40, 149. Smittle, R.B.; Gilliland, S.E.; Speck, M.L. Death of Lactobacillus bulgaricus resulting from liquid nitrogen freezing. Appl. Microbiol. 1972, 24, 551. Goldberg, I.; Eschar, L. Stability of lactic acid bacteria to freezing as related to their fatty acid composition. Appl. Environ. Microbiol. 1977, 33, 489. Gilliland, S.E.; Speck, M.L. Relationship of cellular components to the stability of concentrated lactic Streptococcus cultures at – 178C. Appl. Microbiol. 1974, 27, 793. Wright, C.T.; Klaenhammer, T.R. Survival of Lactobacillus bulgaricus during freezing and freeze-drying after growth in the presence of calcium. J. Food Sci. 1983a, 48, 773. Wright, C.T.; Klaenhammer, T.R. Influence of calcium and manganese on dechaining of Lactobacillus bulgaricus. Appl. Environ. Microbiol. 1983b, 4, 785. Pont, E.G.; Holloway, G.L. A new approach to the production of cheese starter. Some preliminary investigations. Aust. J. Dairy Technol. 1968, 23, 22. Speckman, C.A.; Sandine, W.E.; Elliker, P.R. Lyophilized lactic acid starter culture concentrates preparation and use in inoculation of vat milk for cheddar and cottage cheese. J. Dairy Sci. 1974, 57, 165. Bauman, D.P.; Reinbold, G.W. Freezing of lactic cultures. J. Dairy Res. 1964, 49, 259. Peebles, M.M.; Gilliland, S.E.; Speck, M.L. Preparation of concentrated lactic streptococcus starters. Appl. Microbiol. 1969, 17, 805. Petterson, H.-E. Behaving av bakteriemassor fo¨r meijeri-industriellt bruk, Arbetsutskottet fo¨r livsmedels, Jorskning, Kemicentrum, Lund, Sverige, Halva˚rskrift no 2. 1972. Cogan, T.M.; Buckley, D.J.; Condon, S. Optimum growth parameters of lactic streptococci used for the production of concentrated cheese starter culture. J. Appl. Bacteriol. 1971, 34, 403. Efstathiou, J.D.; McKay, L.L.; Morris, H.A.; Zottola, E.A. Growth and preservation parameters for preparation of a mixed species culture concentrate for cheese manufacture. J. Milk Food Technol. 1975, 38, 444. Jakubowska, J.; Libudzisz, Z.; Piatriewicz, A. Evaluation of lactic acid streptococci for the preparation of frozen concentrated starter cultures. Acta Microbiol. Pol. 1980, 29, 135. Keen, A.R. Growth studies on the lactic streptococci. III. Observation on continuous growth behavior in reconstituted skim-milk. J. Dairy Res. 1972, 39, 151. Gilliland, S.E.; Speck, M.L. Biological response of lactic streptococci and lactobacilli to catalase. Appl. Microbiol. 1969, 17, 797. Gilliland, S.E.; Speck, M.D. D -Leucine as an auto-inhibitor of lactic streptococci. J. Dairy Sci. 1968, 51, 1573. Morichi, J. Mechanism and presentation of cellular injury in lactic acid bacteria A subjected to freezing and drying. 56th Ann. Session of IDF, Japan, 1972.

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Fennema, D.R.; Powrie, W.D.; Marth, E.H. Low Temperature Preservation of Foods and Living Material; Marcel Dekker: New York, 1975. Stadhouders, J.; Hup, G.; Jansen, L.A. A study of the optimum conditions of freezing and storing concentrated mesophilic starters. Neth. Milk Dairy J. 1979, 25, 229. Keogh, B.P. Survival and activity of frozen starter cultures for cheese manufacture. Appl. Microbiol. 1970, 19, 928. Kilara, A.; Shahan, N.K.; Das; Grace, W.R. Effect of cryoprotective agents on freeze-drying and storage of lactic cultures. Cultured Dairy Prod. J. 1976, 11 (2), 8. Stadhouders, J.; Hup, G.; Jansen, L.A. A study of the optimum condition of freezing and storing concentrated mesophilic starters. Neth. Milk Dairy J. 1971, 25, 229. Cerning, J.; Bouillanne, C.; Landon, M.; Desmazeaud, M.J. Comparison of exocellular polysaccharide production by thermophilic lactic acid bacteria. Sci. Aliments 1990, 10, 443 – 451.

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6 The Genus Enterococcus: Biotechnological and Safety Issues CHARLES M. A. P. FRANZ and WILHELM H. HOLZAPFEL Federal Research Center for Nutrition and Food, Institute of Hygiene and Toxicology, Karlsruhe, Germany

I.

INTRODUCTION

The enterococci are lactic acid bacteria (LAB) that are important in environmental, food, and clinical microbiology. They are ubiquitous microorganisms, but have a predominant habitat in the gastrointestinal tracts of humans and animals.[84] They occur as natural contaminants on meats as a result of contamination from the gastrointestinal tract at the time of slaughter. Enterococci are also of technological importance in the production of various European fermented foods such as sausages and cheeses, either where they are purposefully added to the product as starter cultures[165] or where their presence results from environmental contamination. As a result of their natural association with the gastrointestinal tract as well as functional and technologically desirable properties, some strains are also used successfully as probiotics.[6,117] The detrimental activities of enterococci are related to spoilage of foods, especially meats and, more importantly, the fact that certain Enterococcus strains can cause human disease. Enterococci are typical opportunistic pathogens that may cause infections, especially in the nosocomial setting in patients who have underlying disease. Over the last two decades, enterococci have emerged as important nosocomial pathogens, and this rise in their association with human disease can be explained in part by their increasing resistance to antibiotics as well as their promiscuity regarding transfer of genetic material.[6,84,302] This ambiguous nature of enterococci makes them, on the one hand, desirable for use as starter cultures in food production or as probiotics, while, on the other hand, they give rise to concern because of the potential transfer of antibiotic resistance, the possible presence of virulence factors, and their role in human disease. 199 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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II.

TAXONOMY

The genus Enterococcus was proposed by Thiercelin and Jouhaud[1] for gram-positive diplococci of intestinal origin. Andrewes and Horder[2] classified potentially pathogenic bacteria from a patient with endocarditis as Streptococcus faecalis. Because of their close resemblance to strains isolated from the human intestine, the species epithet faecalis was suggested. Lancefield[3] developed a serological typing system for streptococci in which those of fecal origin possessed the group D antigen. This correlated with the grouping of Sherman,[4] who proposed a new classification scheme for the genus Streptococcus that separated it into four divisions designated pyogenic, viridans, lactic, and enterococcus. The enterococcus group included Streptococcus faecalis, Streptococcus faecium, Streptococcus bovis, and Streptococcus equinus as the enterococcal or group D strains. This explains why the history of enterococci cannot be separated from that of the genus Streptococcus.[5,6] Members of the genus Streptococcus formerly grouped as faecal streptococci or Lancefield’s group D streptococci were subdivided into three separate genera: Streptococcus, Lactococcus, and Enterococcus. This was first based on DNA : DNA and DNA : rRNA hybridization studies, modern classification techniques, and serological studies,[7 – 9] and the separation was confirmed on the basis of 16S rRNA sequence analysis.[10] The typical pathogenic species remained in the genus Streptococcus and, with the exception of S. thermophilus and, more recently, Streptococus macedonicus,[11,12] were separated from the nonpathogenic and technically important species of the new genus Lactococcus.[5] The fecal streptococci that were associated with the gastrointestinal tract of humans and animals with some fermented foods and with a range of other habitats constitute the new genus Enterococcus. Enterococci belong to the Firmicutes with low mol% G þ C content in the DNA, the so-called clostridial subdivision of the gram-positive bacteria, together with the other genera of LAB: Aerococcus, Carnobacterium, Globicatella, Lactobacillus, Lactococcus, Leuconostoc, Melisococcus, Oenococcus, Pediococcus, Streptococcus, Tetragenococcus, Vagococcus, and Weissella.[5,13,14] Phylogenetically, the closest relatives of the enterococci are the genus Vagococcus followed by Carnobacterium, Tetragenococcus, Aerococcus, Alloiococcus, Dolosigranulum, Facklamia, Globicatella, and Abiotrophia,[15] while the streptococci, lactococci, and lactobacilli are more distantly related.[14] Since 1984, chemotaxonomic and phylogenetic studies have resulted in the assignment of more than 20 species to the genus Enterococcus (for reviews, see Refs.[5,13,14,16]), but the actual number fluctuates from time to time as individual species are reclassified or new taxa are discovered. For example, E. pallens, E. gilvus, E. canis, and E. phoeniculicola were only described recently.[17 – 19] The species Enterococcus flavescens [20] appears to be identical to E. casseliflavus, which has nomenclatural priority, and Descheemaeker et al.[21] could not distinguish between the two using either protein analysis or PCR-based typing.[14] Enterococcus solitarius [22] was shown to be more closely related to the genus Tetragenococcus.[23,24] De Graef et al.[18] showed that E. porcinus is a junior synonym of E. villorum. Moreover, the 16S rDNA sequences of a possible new species, E. azikeevi, has been submitted to GenBank (GenBank accession no. AJ309563), but this species has not been further described. The phylogenetic relationship of the different species within the genus Enterococcus has been determined by comparative sequence analysis of their 16S rRNA genes. A 16S rRNA-based

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Enterococcus

201

Hoang-Dung TRAN and friends phylogenetic tree of Enterococcus species is depicted in Fig. 1. Based on these data, the following species groups can be distinguished:

1. 2. 3. 4. 5.

E. faecium group: E. faecium, E. durans, E. hirae, E. mundtii, E. villorum, E. canis, E. azikeevi E. avium group: E. avium, E. malodoratus, E. pseudoavium, E. raffinosus, E. gilvus E. gallinarum group: E. gallinarum, E. casseliflavus, E. flavescens E. dispar group: E. asini, E. dispar, E. pallens E. saccharolyticus group: E. saccharolyticus, E. sulfureus

Figure 1

Distance matrix tree showing the phylogenetic relationships of Enterococcus species based on 16S rRNA sequence comparisons. E. solitarius was used as the outgroup, and the bootstrap probability values (%) are indicated at the branch points (200 tree replications).

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6. 7.

III.

Hoang-Dung TRAN and friends E. cecorum group: E. cecorum, E. columbae E. faecalis group: E. faecalis, E. haemoperoxidus, E. moraviensis, E. ratti

IDENTIFICATION

The genus Enterococcus is found together with the genera Melissococcus, Tetragenococcus, and Vagococcus within the family Enterococcaceae.[25] Members of the genus Enterococcus, like those of the genera Streptococcus and Lactococcus, are catalase-negative, gram-positive cocci which are arranged in pairs or short chains. Within the chains, the cells are frequently arranged in pairs and are elongated in the direction of the chain. Endospores are absent. E. gallinarum and E. casseliflavus are motile; all others are nonmotile. E. casseliflavus, E. mundtii, E. sulfureus, E. pallens, and E. gilvus are yellow-pigmented. All enterococci are facultatively aerobic chemo-organotrophs with a fermentative metabolism. They have a homofermentative lactic acid fermentation, with L (þ)-lactic acid as the predominant end product of glucose fermentation. The traditional or “old” Enterococcus species (E. durans, E. faecalis, E. faecium, E. gallinarum, E. hirae, E. mundtii) can be easily distinguished from other gram-positive, catalase-negative, homofermentative cocci such as streptococci and lactococci by their ability to grow both at 108C and 458C, in 6.5% NaCl, in the presence of 40% bile, and at pH 9.6 (Table 1). However, many of the more recently described or “new” Enterococcus species vary in their physiological properties from those of the typical enterococci (Table 1). Thus, with the increasing number of newly described species, the traditional phenotypic identification using genus-specific characteristics has become exceedingly difficult, if not impossible.[18,26] The Voges-Proskauer (VP) reaction and acid production from ribose have been suggested to have high differential value, especially in discriminating enterococci from streptococci.[5,14] However, De Graef et al.[18] showed that these tests are not universally applicable, especially because in their study on E. canis the strains from this species were mostly VP-negative. Reliable identification of the genus Enterococcus and its species thus ultimately relies on the use of a combination of phenotypic, genotypic, and phylogenetic information in a polyphasic taxonomy approach as described by Vandamme et al.[27] A variety of genotypic methods have been used successfully to identify enterococci to genus or species level, and these are reviewed by Domig et al.[28] For differentiation between enterococci and lactococci on the genus level, Deasy et al.[29] described a rapid PCR-based method based on amplification of a region of the 16S rDNA gene. They showed that using this method they could accurately separate enterococci from streptococci, lactococci, pediococci, and lactobacilli. Ozawa et al.[30] were able to accurately identify Enterococcus species by PCR amplification and sequencing of a conserved internal fragment of the D-alanine : D-alanine ligase genes (ddl). Tyrrell et al.[31] used restriction fragment length polymorphism of the 16S/23S intergenic spacer region to distinguish the Enterococcus species, although with some species, e.g., E. avium and E. pseudoavium, such a differentiation was not possible. Baele et al.[32] used tRNA intergenic spacer PCR for the identification of enterococci species. Williams et al.,[24] Descheemaeker et al.,[21] Quednau et al.,[33] Andrighetto et al.,[34] Gelsomino et al.,[35] and Vancanneyt et al.[36] showed that Enterococcus species can be differentiated quite well by RAPD-PCR, while sequencing of the 16S rRNA gene yields accurate species identification and can aid in the description of new Enterococcus species (see above).

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Table 1

Characteristic Physiological Properties of Validly Described Enterococcus Species Growth at

Growth in the presence of

Species

108C

458C

pH 9.6

6.5% NaCl

E. asini E. avium E. casseliflavus E. cecorum E. columbae E. dispar E. durans E. faecalis E. faecium E. flavescens E. gallinarum E. gilvus E. haemoperoxidus E. hirae E, malodoratus E. moraviensis E. mundtii E. pallens E. phoeniculicola E. porcinus E. pseudoavium E. raffinosus E. ratti E. saccharolyticus E. solitarius E. sulfureus E. villorum

(þ) V þ 2 2 þ þ þ þ V/2 þ þ þ þ þ þ þ þ n.d þ þ (þ) þ þ þ þ n.d.

(þ) þ þ þ n.d. 2 þ þ þ V/þ þ þ 2 þ 2 2 þ þ n.d þ þ þ þ þ þ 2 n.d.

n.d. þ þ (þ) n.d. n.d. þ þ þ n.d. þ n.d. n.d. þ þ n.d. þ n.d. n.d. n.d. þ þ n.d. n.d. n.d. n.d. n.d.

2 V V/þ 2 2 þ/2 þ þ þ þ þ þ þ þ þ þ þ þ 2 þ þ/2 þ þ (þ) þ þ þ

40% Bile

0.04% Sodium azide

þ V/þ þ (þ) (þ) þ þ þ þ þ þ þ þ þ þ þ þ þ 2 n.d. V/þ V/þ n.d. þ þ þ þ

n.d. n.d. þ 2 2 2 þ þ þ þ þ n.d. þ þ n.d. þ þ n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. þ

Esculin Group D hydrolysis antigen þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ n.d. þ þ þ þ þ þ þ þ

þ þ þ 2 2 2 (þ) þ V þ þ þ þ V þ þ þ þ n.d. þ 2 n.d. (þ) 2 þ 2 n.d.

n.d., not determined, (þ), weak positive; V, variable; þ/2, differing reports in literature.

IV.

HABITAT

A.

Environment

Enterococci occur in a wide variety of environmental niches, including soil, surface waters, waste waters, and municipal water treatment plants, on plants, in the gastrointestinal tract of warm-blooded animals (including humans), and, as a result of association with plants and animals, in human foods.[6] Certain Enterococcus species are known to be typically associated with plants, i.e., the yellow-pigmented E. mundtii and E. casseliflavus.[37] On plants, enterococci occur in a truly epiphytic relationship.[38] The early studies on the characteristics of the epiphytic life of enterococci (fecal streptococci) on plants by Mundt et al.[38] were performed before the genus Enterococcus was redefined by Schleifer and Kilpper-Ba¨lz;[7] however, modern taxonomic studies based on molecular biological techniques for classification and species identification by Ott et al.[39] and Mu¨ller et al.[40] validated this epiphytic

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Hoang-Dung TRAN and friends relationship, and enterococci occurring on plants were identified as E. faecium, E. faecalis, E. casseliflavus, E. mundtii, and E. sulfureus. The majority of the isolates in the study of Mu¨ller et al.[40] however, possessed a 16SrDNA genotype uncommon to Enterococcus species described at the time of the study.

B.

Gastrointestinal Tract

Enterococci are well known to occur as part of the natural microflora of the intestinal tract of warm-blooded animals and humans and constitute a large proportion of the autochthonous bacteria associated with this ecosystem. E. faecalis is often the predominating Enterococcus sp. in the human bowel, although in some individuals and in some countries, E. faecium outnumbers E. faecalis.[5,41] Numbers of E. faecalis in human faeces range from 105 to 107/g compared with 104 to 105/g for E. faecium.[42,43] Although E. faecalis, E. faecium, and E. durans are frequently isolated from human feces, they are less prevalent in livestock such as pigs, cattle, and sheep.[44] In a study by Devriese et al.[45] E. faecalis was isolated from feces of pre ruminant calves and ruminating young cattle and dairy cows, and E. faecium from pre ruminant calves, but not from ruminating young cattle or dairy cows. S. bovis was the predominant group D organism isolated from feces of dairy cows. E. faecalis, E. faecium, E. hirae, and E. cecorum were the enterococci most frequently isolated from pig intestines, while E. faecium predominated in fecal samples.[44,46] The intestinal microflora of young poultry contained principally E. faecalis and E. faecium, but E. cecorum predominated in the intestine of chickens over 12 weeks old.[47] E. columbae is an important member of the gut flora of pigeons, while E. hirae frequently occurs in the intestine of pigs but may also occur in the gut of poultry, cattle, cats, and dogs.[48] E. durans has been isolated from humans, chickens, and calves, and E. malodoratus is often found in the tonsils of cats. The habitat of the members of the E. avium species group (E. avium, E. malodoratus, E. raffinosus, and E. pseudoavium) otherwise is largely unknown.[14,45] C.

Foods

1.

Meats

The presence of enterococci in the gastrointestinal tract of animals clearly leads to a high potential for contamination of meats at the time of slaughter. In raw meat products, E. faecalis was shown to be the predominant isolate from beef and pork cuts in one study,[49] while in another both E. faecium and E. faecalis were the most predominant Enterococcus spp. isolated from pig carcasses.[50] These pig carcasses from three different slaughter plants contained mean counts of 104 –108 enterococci per 100 cm2 of carcass surface throughout processing.[50] Devriese et al.[51] showed that E. faecium, E. faecalis, and to a lesser extent E. hirae and E. durans occurred in meat and prepared meat products. In a study on poultry, E. faecalis predominated among the gram-positive cocci isolated from chicken samples collected at abattoirs.[52] Capita et al.[53] found enterococci to occur at a mean count of log 2.72 CFU/g of chicken carcasses from five retail outlets in Spain. Enterococci were also consistently isolated from beef, poultry, or pig carcasses or fresh meat cuts in studies of antibiotic resistance of enterococci.[54 – 58] Enterococci not only may contaminate raw meats, but can be associated with processed meats. Cooking of processed meats may confer a selective advantage on enterococci as these bacteria are known to be among the most thermotolerant of the

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Enterococcus

205

Hoang-Dung TRAN and friends non-sporulating bacteria.[59,60] After surviving the heat-processing step, both E. faecalis and E. faecium have been implicated in spoilage of cured meat products such as canned hams and chub-packed luncheon meats.[61 – 64] Enterococci are also isolated from certain types of fermented sausages, particularly the dry fermented sausages known as chorizo[65 – 67] and espetec[68] produced in Spain, in Italian sausages,[69] or in sausages such as salami and Landja¨ger produced in many European countries. Salami and Landja¨ger were shown in one study[70] to contain enterococci at numbers ranging from 102 to 105 CFU/g. Thanks to their competitive advantage over other microbiota in meat fermentations, the enterococci may survive and contribute to the fermentation of meat products. In addition, some enterococcal strains have the ability to produce enterocins harboring antimicrobial activity against pathogens and spoilage microorganisms of meat concern. Such enterocinproducing enterococci or their purified metabolites may be applied as extra hurdles for preservation in sausage fermentation and in sliced-vacuum packed cooked meat products, thereby preventing the outgrowth of Listeria monocytogenes and slime-producing lactic acid bacteria.[71]

2.

Cheese

Enterococci occur in many traditional European cheeses manufactured in mostly Mediterranean countries from raw or pasteurized milk.[72 – 83] The source of enterococci in milk and in such cheeses is thought to be the feces of dairy cows, contaminated water, or milking equipment and bulk storage tanks[84] as well as natural milk starters.[85] The isolation of enterococci from natural milk starters can be explained by their heat resistance; natural milk starters are made by pasteurising milk at 42– 448C for 12 –15 hours, thus promoting the thermotolerant bacteria present, which include S. thermophilus strains and Enterococcus spp.[85] Strains belonging to the species E. faecalis, E. faecium, and E. durans are most often isolated from such cheeses (Table 2), and these may contribute to ripening and product flavor.[34,76,77,80 – 82,86 – 88] Numbers of enterococci in cheese curds range from 104 to 106 CFU/g, and in the fully ripened cheeses from 105 to 107 CFU/g (Table 2). Enterococci can grow in the restrictive environment of high salt content and low pH of the cheese[72,75,87,89] and contribute to the ripening and aroma development of these products due to their proteolytic and esterolytic activities, as well as the production of diacetyl.[72,81,90 – 95] 3.

Fermented Vegetables

Enterococci occur in a variety of fermented vegetables, but it is often not clear whether they originate from the plant material itself or as environmental contaminants. Enterococci have been isolated also from Spanish-style green olive fermentations,[96 – 101] in which E. faecalis is a frequent contaminant, and they frequently occur in retail fermented olives. De Castro et al.[97] suggested that lactic acid bacteria growing at the beginning stages of the olive fermentation are important for improving the hygiene of the product. However, not all of the lactic acid bacteria are suited to grow at the relative high pH conditions resulting from alkaline treatment of the olive grapes to hydrolyze the bitter glucoside oleuropein. Because of their tolerance to the high pH values and salt concentration used in the olive brine, the enterococci appear to be well suited for growth at these conditions.[97] It has also been suggested that enterococci can use the antimicrobial compound oleuropein in olive grapes as a growth substrate,[102] thus lowering the toxicity of the fermentation medium for growth of other LAB. In addition, the enterococci, especially E. faecalis strains, have also been associated with African fermented sorghum

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Hoang-Dung TRAN and friends

206

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Table 2

Numbers and Predominance of Enterococcus spp. in Cheeses from Mediterranean Countries

Cheese

Country of origin

Milk source

Enterococci in curd (log CFU/g)

Enterococci at end of ripening (CFU/g)

Greece

Raw goat’s milk or mixed goat’s and ewe’s milk

4.0

6.7

Kefalotyri cheese

Greece

ewe’s milk, cow’s milk or mixed ewe’s and goat’s milk

4.9

5.8

Teleme cheese

Greece

Pasteurized ewe’s milk

n.r.a

n.r.

Orinotyri cheese La Serena ewe’s milk cheese

Greece Spain

Raw ewe’s milk Raw ewe’s milk

n.r. 6.2

6.8 7.2

Manchego cheese

Spain

Raw ewe’s milk

n.r.

n.r.

L. plantarum (47%)b E. faecium (12%) L. paracasei subsp. paracasei (10%) E. faecalis (9%) E. faecium (35.6%) L. plantarum (18.4%) L. casei subsp. casei (15.8%) E. durans (9.2%) Pediococci (9.2%) Lactobacilli Leuconostocs Enterococci Lactococci, enterococci, leuconostocs Lactobacilli Leuconostocs Enterococci Enterococci

Ref. 86

75

86

83 74

72

Franz and Holzapfel

White-brined cheese

Predominant bacteria in end product (% of isolates)

Hoang-Dung TRAN and friends Spain

Raw cow’s milk

n.r.

6.5

San Sı´mon cheese

Spain

Raw cow’s milk

5 –6

6– 7

Tetilla cheese

Spain

Raw cow’s milk

n.r.

7.3

Caprino d’ Aspromonte Serra cheese

Italy

Raw or heated goat’s milk Raw ewe’s milk

4 –6

5– 7

n.r.

n.r.

Mixture of raw goat’s and ewe’s milk

n.r.

n.r.

Picante da Beira Baixa cheese

Portugal

Portugal

E. faecalis (30.1%) E. faecalis (var. liquifaciens) (11.9%) Lact. lactis (19.0%) W. (Leuc.) paramesenteroides (7.9%) Leuc. mesenteroides subsp. mesenteroides (6.3%) E. faecium (4.8%) E. faecalis, E. faecium, E. durans, Staph. spp. Micrococcus spp. E. faecalis, L. casei subsp. casei, Leuconostoc mesenteroides subsp. mesenteroides Enterococci, lactobacilli, mesophilic and thermophilic cocci Leuc. lactis, Lact. lactis, Leuc. mesenteroides subsp. mesenteroides/ dextranicum, E. faecium E. faecium, E. faecalis, E. durans, L. plantarum, L. paracasei

81

Enterococcus

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Cebreiro cheese

301 82

80 76

87

a

n.r. ¼ not reported. L. ¼ Lactobacillus; E. ¼ Enterococcus; Lact. ¼ Lactococcus; Leuc. ¼ Leuconostc; W. ¼ Weissella, Staph. ¼ Staphylococcus.

b

207

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Hoang-Dung TRAN and friends foods.[103,104] In our own studies on traditional fermented African foods, enterococci were also associated with the fermentation of products such as Hussuwa made from sorghum in the Sudan and Okpehe made from locust beans in Nigeria. In these foods, the enterococci contribute only a minor part of the microbial population associated with the fermentation (approximately 10% of the isolates from Hussuwa), and most isolates consist of E. faecium strains.[105]

V.

BIOTECHNOLOGICAL IMPORTANCE OF ENTEROCOCCI

A.

Bacteriocin Production

Many enterococci isolated from the environment or from foods were shown to be bacteriocinogenic. The bacteriocins from enterococci are usually referred to as enterocins, and generally these exhibit activity towards listeriae.[106] The food origin of many enterocin producers and the activity towards the important foodborne pathogen L. monocytogenes has prompted a great amount of research for using bacteriocin-producing enterococci as “protective cultures” or their purified bacteriocins in the biopreservation of foods (see below). 1.

Enterocin Classification and Characteristics

Bacteriocins are microbially produced, membrane-active peptides with antimicrobial activity, usually against closely related strains[107] (see also Chapter XX). Their genetics, production, mode of action, immunity, and secretion mechanisms have been reviewed previously.[107 – 112] The currently most widely used classification system of bacteriocins produced by LAB is that of Nes et al.[111] who grouped these bacteriocins into three classes. Class I bacteriocins are ribosomally synthesized lantibiotics that undergo extensive posttranslational modification to produce an active peptide. Lantibiotics contain the unusual amino acids lanthionine and b-methyllanthionine.[107,111] Class II bacteriocins are small (4 –6 kDa), heat-stable bacteriocins which were divided into three subgroups by Nes et al.[111]: class IIa comprises the pediocin-like bacteriocins that contain a conserved YGNGVXC amino acid motif at the N-terminus and which generally have a strong anti-Listeria effect, class IIb includes the two component bacteriocins, and class IIc consists of bacteriocins that are secreted via the sec-pathway or preprotein translocase.[113,114] Class III bacteriocins are typically large (.10 kDa), heat-labile proteins. Enterocins produced by Enterococcus faecium, E. faecalis, and E. mundtii have been described and include the well-characterized enterocins A, AS-48, B, EJ97, L50, P, Q, 1071, enterolysin A, bacteriocin 31, mundticin, and mundticin KS.[66,68,115 – 120] Some of these enterocins can be readily grouped into one of the bacteriocin classes as defined by Nes et al.[111] but some have unusual structural or genetic characteristics that do not allow grouping into this classification scheme (Table 3). Class I Enterocins. Cytolysin is the only known enterocin that can be classified as a class I bacteriocin. It consists of two peptides, both of which contain lanthionine residues.[121] Cytolysin has bacteriocin as well as haemolytic activity and thus is active against both eukaryotic cells (erythrocytes) and gram-positive bacteria.[121,122] The genetic locus for cytolysin production is located on the 58 kb pheromone-responsive plasmid (see virulence factors below) pAD1.[122] The two structural subunits are encoded by two open reading frames (ORFs) (cylLL and cylLS). The preprotein encoded by these

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Hoang-Dung TRAN and friends Amino Acid Sequence and Molecular Weight of Enterocins from Different Enterococcus Species

Enterocin Cytolysin (CylLL00 ) Cytolysin (CylLS00 ) Enterocin A Mundticin Mundticin KS Enterocin CRL35 Enterocin P Bacteriocin 31 Enterocin B Enterocin Q Enterocin EJ97 Enterocin L50A Enterocin L50B Enterocin 1071A Enterocin 1071B AS-48

Enterolysin A

MENLSVVPSFEELSVEEMEAIQGS VLNKENQENYYSNKLELVGPSFEEL SLEEMEAIQGS MKHLKILSIKETQLIYGG n.r. MKKLTAKEMSQVVGG n.r. MRKKLFSLALIGIFGLVVTNFGTKVDA MKKKLVICGIIGIGFTALGTNVEA MQNVKELSTKEMKQIIGG None None None None MKQYKVLNEKEMKKPIGG MKNIKNASNIKVIEDNELKAITGG

MKNILLSILGVLSIVVSLAFSSYSVNA

Amino acid sequence of mature peptide TTPVCAVAATAAASSAACGWVGGGIFTGVTVVVSLKHC TTPACFTIGLGVGALFSAKFC TTHSGKYYGNGVYCTKNKCTVDWAKATTCIAGMSIGGFLGGAIPGKC KYYGNGVSCNKKGCSVDWGKAIGIIGNNSAANLATGGAAGWSK KYYGNGVSCNKKGCSVDWGKAIGIIGNNSAANLATGGAAGWKS KYYGNGVTLNKXGXSVNXXXA. . .. ATRSYGNGVYCNNSKCWVNWGEAKENIAGIVISGWASGLAGMGH ATYYGNGLYCNKQKCWVDWNKASREIGKIIVNGWVQHGPWAPR ENDHRMPNELNRPNNLSKGGAKCGAAIAGGLFGIPKGPLAWAAGLAN VYSKCN MNFLKNGIAKWMTGAELQAYKKKYGCLPWEKISC MLAKIKAMIKKFPNPYTLAAKLTTYEINWYKQQYGRYPWERPVA MGAIAKLVAKFGWPIVKKYYKQIMQFIGEGWAINKIIEWIKKHI MGAIAKLVTKFGWPLIKKFYKQIMQFIGQGWTIDQIEKWLKRH ESVFSKIGNAVGPAAYWILKGLGNMSDVNQADRINRKKH GPGKWLPWLQPAYDFVTGLAKGIGKEGNKNKWKNV MVKENKFSKIFILMALSFLGLALFSASLQFLPIAH MAKEFGIPAAVAGTVLNVVEAGGWVTTIVSILTAVGSGGLSLLAAAG RESIKAYLKKEIKKKGKRAVIAW ASNEWSWPLGKPYAGRYEEGQQFGNTAFNRGGTYFHDGFDFGSAIYG NGSVYAVHDGKILYAGWDPVGGGSLGAFIVLQAGNTNVIYQEFSRNV GDIKVSTGQTVKKGQLIGKFTSSHLHLGMTKKEWRSAHSSWNKDDGT WFNPIPILQGGSTPTPPNPGPKNFTTNVRYGLRVLGGSWLPEVTNFN NTNDGFAGYPNRQHDMLYIKVDKGQMKYRVHTAQSGWLPWVSKGDKS DTVNGAAGMPGQAIDGVQLNYITPKGEKLSQAYYRSQTTKRSGWLKV SADNGSIPGLDSYAGIFGEPLDRLQIGISQSNPF

3437 2031 4829 4287 4287 Unknown 4493 n.r. 5463 3950 5340 5190 5178 4284 3897 n.r. 34 501

209

n.r.: not reported.

N-terminal extension

Molecular weight of mature bacteriocin (Da)

Enterococcus

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Table 3

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Hoang-Dung TRAN and friends ORFs are posttranslationally modified to yield the active subunits CylLL00 and CylLS00 with a molecular mass of 3437.98 and 2031.81 Da, respectively[121,122] (Table 3).

Class II Enterocins CLASS IIA ENTEROCINS . Enterocin A (EntA) is a class IIa bacteriocin that contains a N-terminal YGNGVXC motif and is active against L. monocytogenes, characteristics that allow grouping of this bacteriocin as a class IIa bacteriocin. It is produced by E. faecium strains CTC492 and T136 (both isolated from Spanish fermented sausages), as well as strain BFE 900 isolated from black olives.[65,68,123] EntA consists of 47 amino acids with a theoretical molecular weight of 4829 Da. (Table 3) and is produced as a prepeptide bearing an 18-amino-acid leader peptide of the double-glycine type. Mundticin KS produced by Enterococcus mundtii NFRI 7393 also belongs to the class IIa bacteriocins and exhibits activity against Lactobacillus spp., Enterococcus spp., as well as L. monocytogenes.[118] The mature bacteriocin contains 43 amino acids (Table 3) and is produced as a preprotein bearing a 15-amino-acid leader peptide of the double-glycine type.[118] Mundticin KS is identical to the previously described mundticin produced by E. mundtii ATO6[124] (see below), except that the last two C-terminal amino acids are inversed in position when comparing the amino acid sequences of mundticin and mundticin KS.[118] Thus, while mundticin contains Ser42 Lys43, mundticin KS contains Lys42 Ser43. CLASS IIB ENTEROCINS . Enterocin 1071 (Ent 1071) is produced by E. faecalis strains BFE 1071[116] and FAIR-E 309[117] as a two-peptide bacteriocin from the two structural subunits enterocin 1071A and B. This enterocin has antimicrobial activity against a broad range of gram-positive bacteria, including Clostridium tyrobutyricum, E. durans, E. faecalis, L. salivarius, L. innocua, and Micrococcus spp.[116] Chemical and genetical characteristics of enterocin 1071 were studied by Balla et al.[116] and Franz et al.[117] Both bacteriocin subunits are encoded as prepeptides, each bearing a double-glycine-type leader peptide of either 18 amino acids (Ent1071A) or 24 amino acids (Ent 1071B).[117] The molecular mass of the purified bacteriocins is 4285 and 3899 Da for enterocins 1071A and 1071B, respectively.[116] The genetic determinants for this two-peptide bacteriocin are located on a plasmid DNA,[116,117] and DNA sequencing revealed two ORFs encoding the 39- and 34-amino-acid mature enterocin 1071A and 1071B peptides, respectively (Table 3). The two peptides have homology only to the a and b peptides of the two-component bacteriocin lactococcin G.[117] Enterocin L50 (Ent L50) is produced by E. faecium strains L50 and 6T1a.[99,125] Enterocin L50 consists of two structural subunits, peptides L50A and L50B, both of which have antimicrobial activity and which exhibit synergism when combined. The genetic locus for enterocin L50 was cloned and sequenced and contained the EntL50A and B structural genes encoding the 44-amino-acid (EntL50A) and 43-amino-acid (EntL50B) peptides, which have theoretical molecular weights of 5190 and 5178 Da (Table 3), respectively.[125] The A and B peptides have 31-amino-acid residues in common, and they are 72% identical. Enterocin L50 exhibits a wide antimicrobial spectrum, and it is active against strains of Enterococcus, Lactobacillus, Lactococcus lactis, Pediococcus pentosaceus, as well as the foodborne pathogens L. monocytogenes and B. cereus,[99,125] EntL50A and B are different from other class II bacteriocins, however, as the structural genes do not encode prepeptides but encode the mature bacteriocin without an N-terminal extension.[125] Cintas et al.[125] suggested that although enterocin L50 may be considered a class IIb bacteriocin according to the classification systems of Nes et al.[111] it has

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Hoang-Dung TRAN and friends more in common with a group of staphylococcal peptide toxins, which include d-lysin, SLUSH A – C and AGS1 –3 produced by Staphylococcus aureus, S. lugdunensis, and S. haemolyticus. CLASS IIC ENTEROCINS . Enterocin P (EntP) is produced by E. faecium strains P13 and L50, both isolated from Spanish fermented sausages.[66,115] Its antimicrobial spectrum includes activity against Enterococcus, Lactobacillus, and Pediococcus spp., and B. cereus, S. aureus, Clostridium perfringens, C. botulinum, and L. monocytogenes.[66] The mature enterocin P bacteriocin consists of 44 amino acids and has a theoretical molecular weight of 4493 Da (Table 3). Enterocin P is produced as a prepeptide of 71 amino acids with a 27-amino-acid signal peptide (Table 3). Secretion of enterocin P, therefore, occurs by the bacterial preprotein translocase,[66] which is a determinative characteristic for grouping this bacteriocin into class IIc bacteriocins according to the classification scheme of Nes et al.[111] Enterocin P has sequence similarity with the other class II bacteriocins, such as sakacin A, carnobacteriocins BM1 and B2, leucocin A, mesentericin Y105, and sakacin P.[66] Bacteriocin 31 is produced by E. faecalis YI717, and the genetic determinants involved in production for this bacteriocin are located on a pheromone-responsive plasmid.[126] Bacteriocin 31 is also secreted by the bacterial preprotein translocase and contains a 24-amino-acid signal peptide.[126] Alignment of the bacteriocin 31 and enterocin P signal peptide amino acid sequences showed that they share sequence identity of 12 amino acids.[66] The mature bacteriocin 31 consists of 43 amino acids (Table 3), and it is active against Enterococcus spp. and L. monocytogenes. OTHER CLASS II ENTEROCINS . Mundticin, produced by an E. mundtii strain isolated from processed vegetables[124] consists of 43 amino acids and contains a YGNGVXCconsensus motif at the N-terminus of the bacteriocin molecule. Mundticin has a molecular weight of 4287 Da as determined by mass spectrometry and has activity against Enterococcus, Lactobacillus, Leuconostoc, and Pediococcus spp., as well as L. monocytogenes and C. botulinum. The genetics of mundticin production have not been studied, and it is thus not known whether this bacteriocin is secreted by dedicated transport proteins or by the bacterial pre protein translocase[111]. For this reason, it is not clear whether mundticin belongs to the class IIa or class IIc bacteriocins as defined by Nes et al.[111]. Enterocin CRL35 produced by E. faecium CRL35 shows strong sequence homology to other class II bacteriocins, leucocin A, curvacin A, and sakacins A and P. It also contains a YGNGVXC motif near the N-terminus (Table 3); however, the characteristic cysteine that is located two amino acid residues from the valine is not present. Instead, this bacteriocin has a YGNGVXL motif at the N-terminus.[127] The full amino acid sequence of this bacteriocin has not been determined. The sequence reported by Farı´as et al.[127] has strong sequence similarity at the N-terminus with mundticin (Table 3). The gene encoding the prepeptide of enterocin CRL35 has not been cloned and sequenced, therefore it is not yet clear whether this bacteriocin belongs to the class IIa or class IIc bacteriocins.

Class III Enterocins. Enterolysin A is a bacteriocin produced by E. faecalis LMG 2333. It is a large (calculated molecular weight of 34,501 Da), heat-labile bacteriocin[128] and therefore fits the general characteristics of class III bacteriocins. Enterolysin A is inhibitory towards Enterococcus, Pediococcus, Lactococcus, and Lactobacillus spp. The genetic determinant for enterolysin A was cloned and sequenced.[128] The bacteriocin is encoded as a prepeptide consisting of a 316-amino-acid protein bearing a 27-amino-acid signal

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Hoang-Dung TRAN and friends peptide. Amino acid sequence comparison indicated homology to cell wall –degrading proteins such as lysostaphin produced by Staphylococcus simulans biovar. staphylolyticus and to ALE-1, LytM, and zoocin A, which are all endopeptidases belonging to the M37 protease family.[128]

Atypical Enterocins. Enterocin B (Ent B) is produced in addition to EntA by E. faecium strains CTC492, T136, and BFE 900.[12,65,68] Enterocin B does not contain the YGNGVXC-consensus motif at the N-terminus of the mature peptide (Table 2), which makes it different from the class IIa and class IIb bacteriocins. Enterocin B shares sequence similarity only with carnobacteriocin A,[12,129] which also does not contain the YGNGVXC-consensus motif. Enterocin B is active against Enterococcus and Lactobacillus spp. and the foodborne pathogens L. monocytogenes, S. aureus, and C. perfringens.[12,65] The bacteriocin consists of 53 amino acids with a molecular weight of 5463 Da (Table 3). Genetic analysis showed that the prepeptide contained an 18-aminoacid leader peptide of the double-glycine type.[12,65] This indicated that EntB was secreted by a dedicated-type secretion mechanism, involving the ABC transporter and accessory proteins. However, a 12.0 kb DNA fragment cloned from the chromosome of E. faecium BFE 900 that contained the structural gene for EntB did not contain ABC transporter or accessory protein genes.[12] It is possible that EntB is secreted by the dedicated transport proteins of EntA or some other transport system available in the cell.[12] Enterocin Q (EntQ) is produced by E. faecium L50 in addition to the bacteriocins enterocin P and enterocin L50.[114] Enterocin Q is a unique bacteriocin, as it has a relatively small size of 34 amino acids (Table 3) with a theoretical molecular mass of 3952 Da[115] and, like Enterocin L50, is also not produced as a preprotein. This feature (absence of a N-terminal extension involved in bacteriocin transport) actually makes both the enterocin L50 and enterocin Q atypical enterocins, which cannot be grouped into any of the class II bacteriocin subgroups. Cintas et al.[115] suggested that enterocin Q is transported from the cell by a presently undetected ABC transporter, as has been demonstrated for other bacterial proteins that do not contain an N-terminal leader or signal peptide. Enterocin Q also lacks the YGNGVXC consensus sequence at the N-terminus. Enterocin EJ97 (Ent EJ97) is a bacteriocin produced by E. faecalis EJ97, which is inhibitory to species of Bacillus, Enterococcus, Listeria, and Staphylococcus.[130] The genes for enterocin EJ97 production were detected on a 60 kb conjugative, pheromoneresponse plasmid pEJ97, and the structural gene encodes a 44-amino-acid bacteriocin (Table 3) that, similar to EntL50 and EntQ, does not contain a N-terminal extension.[120] Again in this case, an assignment of this enterocin into one of the class II subclasses, due to the lack of a leader or signal peptide, is problematic. Genes encoding putative transport proteins such as an ABC transporter and a putative accessory protein were found in close proximity of the Ent EJ97 structural genes and may be involved in transport and possibly immunity.[120] A search of the protein databanks did not reveal homology to any of the bacteriocins described to date.[120] Enterocin AS-48 is produced by a clinical isolate of E. faecalis strain S-48.[131] Production of identical bacteriocins, bacteriocin 21 and enterocin 4 was subsequently reported for other strains of E. faecalis.[132,133] The structural genes for enterocin AS-48 are located on a pheromone-responsive plasmid, and Martı´nez-Bueno et al.[134] showed that the as-48 gene encoded a 105-amino-acid prepeptide consisting of a 35-amino-acid signal peptide and a 70-amino-acid mature peptide (Table 3). AS-48 forms a 70-aminoacid cyclic molecule that results from a head-tail linkage of the N-terminal

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Hoang-Dung TRAN and friends methionine (Mþ1) to the C-terminal tryptophan (Wþ70).[134] Thus, the cyclic nature of AS-48 makes this bacteriocin molecule quite unique when compared to the linear bacteriocins, which are otherwise generally produced by LAB. As shown above, enterocins produce an impressive array of antimicrobial substances, which may, in part, also explain the success of these bacteria to successfully compete in such various niches such as the gastrointestinal tract and various foods, in which they are found together with a complex associative microflora. Bacteriocin activity of enterococci against foodborne pathogens, especially L. monocytogenes, and food-spoilage bacteria such as Clostridium tyrobutyricum, which is involved in the “blowing” defect of cheeses, has stimulated interest in using these bacteria or their purified bacteriocins for use in food production as biopreservatives.

2.

Use of Enterocins or Enterocin-Producing Enterococci in Biopreservation

Bacteriocin production by enterococci isolated from dairy products has been investigated. Strains producing enterocin AS-48[131,134,135] have been found in raw milk and dairy products.[136 – 139] E. faecium WHE 81 isolated from cheese produces enterocins A and B that also inhibit L. monocytogenes.[140,141] Another strain, E. faecium EFM01, also isolated from cheese, was shown to produce enterocin A.[142] Similarly, strains producing the enterocins A, B, P, L50, and Q were isolated from certain types of fermented sausages, particularly the dry fermented sausages known as chorizo[65 – 68,143] and espetec[68] produced in Spain. Production of antilisterial bacteriocins by various enterococci from Spanish-style dry fermented sausages were proposed to make these suitable for addition to meat as co-cultures to improve food safety.[65,115,144] Enterocins or starter cultures containing bacteriocin-producing enterococci have been used in model studies to improve safety of the cheeses.[93,145 – 150] A bacteriocinogenic E. faecium strain was tested on a laboratory scale for use in combination with a commercial starter culture for Taleggio cheese making.[106] The bacteriocin was produced during drainage of the whey, and activity could be detected in the cheese until the end of the ripening period, while growth and acidifying activity of the thermophilic commercial starter culture was not inhibited.[106] An inhibitory starter culture consisting of bacteriocinogenic E. faecium, E. faecalis, nisin-producing L. lactis and Lactobacillus paracasei added to milk prior to Camembert cheese making or sprayed onto the surface of the cheese, totally inhibited Listeria spp. when surfaces were contaminated with Listeria not later than 1.5 days after brining.[150] Laukova´ and Czikkova´[146] added the semi-purified bacteriocin enterocin CCM 4231 to bryndza cheese that was experimentally contaminated with L. innocua. Only a slight reduction (1 log unit) was noted when comparing this cheese to a control inoculated with L. innocua at a similar level, but to which no bacteriocin was added.[146] Garcia et al.[145] used an E. faecalis strain INIA4 which produces AS-48 to study inhibition of a mixture of L. innocua strains during manchego cheese making. The effect of this bacteriocin appeared to be mostly bacteriostatic during the first 24 hours of cheese making, when pH was not low enough to inhibit L. innocua growth. However, the decrease in L. innocua counts during the ripening of the cheese appeared to be mostly due to the low cheese pH values.[145] Sarantinopoulous et al.[93] used a bacteriocin-producing E. faecium FAIR-E 198 strain as adjunct starter culture in feta cheese-making; no enterocin activity could be detected during cheese ripening. Thus, varying levels of success were achieved and it was suggested that rennet, CaCl2, and non-Enterococcus starter cultures may influence bacteriocin production and

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Hoang-Dung TRAN and friends hence the successful inhibition of target bacteria.[93,145,149] Thus in vitro production of bacteriocins is no guarantee for in situ inhibitory efficiency, as the complex food constituents may interfere with bacteriocin production levels.[93] Enterocin-producing strains or purified enterocins have also been used for biopreservation of meats in model studies. Enterocins A and B from E. faecium CTC492, when added as semi-pure preparations, showed a marked antilisterial activity in model meat and meat products such as cooked ham, minced pork meat, deboned chicken breasts, paˆte´, and espetec. The bacteriocin-producing strain itself was not used as a starter culture, because bacteriocin production and growth of the strain were inhibited by low temperatures and the salt and pepper ingredients used in the sausage recipe.[151] In contrast, Callewaert et al.[144] showed that two bacteriocin-producing strains of E. faecium effectively inhibited a strain of L. innocua in model Spanish-style dry fermented sausage. Therefore, it was suggested that particular enterocins could be considered as additional biopreservative hurdles for successful prevention of listerial growth in fermented sausages.[144,151,152]

B.

Other Technological Traits of Enterococci for Use as Cheese Starter Cultures

Because of their role in ripening and flavor development in cheeses, enterococci with desirable technological and metabolic traits have been proposed as part of defined starter cultures or as adjunct starter cultures for different European cheeses.[90,153 – 155] The ability of enterococci to grow at low pH and high salt concentration and their relative heat resistance[85,94] are traits that enable enterococci to occur in and grow in cheeses and meats, and as such these may already be considered as technological traits. 1.

Acidifying Activity

As members of the lactic acid bacteria, enterococci produce lactic acid as end product of metabolism, and this acidifying activity, which is important for any food fermentation, can be considered as an additional technological trait. However, in milk and in meats the enterococci generally exhibit only low acidifying ability.[151,152,156] Morea et al.[157] showed that the pH of milk 24 hours after inoculation with enterococci strains isolated from mozzarella cheese did not decrease below pH 5.5. Other investigations[34,158] confirmed the poor acidifying activity of enterococci in cheese production as only a small percentage of strains could decrease the pH below 5.0 – 5.2 after 16– 24 hours of incubation at 378C.[156] Delgado et al.[88] showed that some enterococci isolated from cheese produced acid at sufficient levels for production of artisanal cheeses. Two E. durans isolates in particular were able to reduce the pH of skim milk below pH 4.4 after 24 hours at 228C.[88] E. faecalis generally appears to be a stronger acidifier than E. faecium, and lowering of skim milk pH to about pH 4.5 after 24-hour fermentation was observed for E. faecalis strains isolated from Italian cheeses.[156,159] 2.

Proteolytic, Lipolytic, and Esterase Activity

Proteolytic activity of enterococci for breakdown of milk casein is important for cheese ripening. Conflicting reports on proteolytic activity of enterococci suggest a marked strain-to-strain variation of this phenotypic trait.[88,156,160,161] Although there are exceptions, generally the proteolytic activity of enterococci appears to be low, with E. faecalis strains possessing higher activity than other Enterococcus species.[34,89,90,156,162,163]

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Hoang-Dung TRAN and friends Esterases are arbitrarily defined as enzymes that hydrolyze substrates in solution, while lipases hydrolyze substrates in emulsion.[156] Esterases have been linked to the flavor development and cheese texture by lipolysis of milk fat and subsequent conversion of the free fatty acids produced to methylketones and thioesters, which have importance as cheese flavor compounds. Lipolysis, on the other hand, is not directly involved in cheese rheology but partial glycerides are tensio-active and influence molecular organisation, thus having an effect on cheese texture.[156] Hydrolysis of triglycerides by enterococci has been reported, with E. faecalis strains appearing to be most active,[161 – 164] while the esterolytic system of enterococci appears to be complex and more efficient than their lipolytic system.[156] E. faecium strains appear to be more esterolytic than other enterococci species.[95,156,162,163]

3.

Citrate Metabolism

Citrate metabolism plays an important role in many food fermentations involving lactic acid bacteria, as this compound occurs in many natural food substrates such as milk, vegetables, and fruits. Since citrate is a highly oxidized substrate, no reducing equivalents, such as NADH, are produced during its degradation, which results in the formation of metabolic end products other than lactic acid.[162] Some of these end products, such as diacetyl, acetaldehyde, and acetoin, have distinct aroma properties and can significantly influence the quality of fermented foods. In addition, the breakdown of citrate also results in the production of CO2, which can contribute to the texture of some fermented foods.[162] Freitas et al.[87] indicated that citrate in milk was metabolized by E. faecalis and to a lesser extend by E. faecium. Sarantinopoulos et al.[158] showed that strains of E. faecalis, E. faecium, and E. durans varied in their ability to utilize citrate or pyruvate as the sole carbon sources. Sarantinopoulous et al.[162] showed that in skim milk citrate and lactose were co-metabolized by E. faecalis FAIR-E 229, while in MRS broth containing citrate and lactose or glucose as the sole carbohydrate, citrate was not catabolized but stimulated the growth of the E. faecalis strain. When present as a sole carbon source in MRS broth without glucose, citrate was catabolized by E. faecalis FAIR-E 229 with the main end products being acetate and formate, while minor amounts of lactate, ethanol, and acetoin were also detected. The work of Sarantinopoulous et al.[162] indicated that Enterococcus strains have the metabolic potential to metabolise citrate and thus actively contribute to flavor development of fermented dairy products. As shown above, enterococci are not good acidifiers of milk and meats, and their proteolytic and esterolytic properties may not be high. For this reason it would probably be better to use enterococci in food fermentations as adjunct starter cultures in combination with established starter strains, rather than using these bacteria as defined starter cultures by themselves. Nevertheless, the effect of the technological properties of the enterococci is not negligible and should not be underestimated. For example, Sarantinopoulous et al.[93] studied the technological properties of two strains of E. faecium as adjunct starter cultures, either single or combined, on the microbiological, physicochemical, and sensory characteristics of feta cheese in a well-defined study. It was shown that the presence of the enterococcal starter strains positively affected the growth of nonstarter LAB, increased the proteolytic index and free amino group concentration, enhanced the water-soluble nitrogen fractions, and positively affected taste, aroma, color, structure, and the overall sensory profile of the cheese.[93] Clearly, the results of these study supported previous suggestions that enterococci indeed positively influence cheese fermentations.

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Hoang-Dung TRAN and friends Production of Biogenic Amines During Fermentation

Numerous bacteria, including strains of LAB, associated with food fermentation are able to form biogenic amines (BA). As a result of high metabolic activities, amino acid decarboxylase positive strains may produce relatively high amounts of BA, especially in protein-rich substrates such as meat and milk. Ingestion of high levels of biogenic amines such as histamine and tyramine may result in allergic reactions or cause intoxication symptoms such as headache, vomiting, and increased blood pressure. Within the LAB, amino acid (and particularly tyrosine) decarboxylase activity appears to be quite common among be the enterococci. Their ability to produce BA, and especially tyramine, has been reported particularly for cheese and fermented sausages.[85,165 – 167] Within 25– 378C and pH 5 –7, the production conditions for BA-positive enterococci appear to be optimal. Contrary to the general expectation for BA-positive LAB, the tyrosine decarboxylase activity of enterococci was reported to increase with increasing NaCl concentrations of up to 10% (and with elevated production levels even at 20% NaCl), concomitantly with an increased production rate. In addition, it has been shown that levels of 1 –2% NaNO2 also result in increased production of tyramine in a model system with a strain of E. faecalis.[168] The wide distribution and association of enterococci with traditional fermented foods may to some extent explain the elevated levels of tyramine that may be found in these products.

D.

Enterococci as Probiotics

Functional effects claimed for probiotics include inhibition of pathogenic microorganisms, strengthening of the gut mucosal barrier, antimutagenic and anticarcinogenic activities, stimulation of the immune system, and lowering of blood cholesterol levels.[169 – 174] Most probiotic cultures are of intestinal origin and belong to the genera Bifidobacterium and Lactobacillus; however, Enterococcus spp. are also occasionally used as probiotics. E. faecium SF68 has been used to treat diarrhea and is considered as an alternative to antibiotic treatment.[175,176] Several placebo-controlled, double-blind clinical studies have shown that treatment of enteritis with E. faecium SF68 was successful for both adults and children. It decreased the duration of diarrheal symptoms and the time for normalization of patient’s stools.[175 – 178] The use of E. faecium SF68 as an animal probiotic was also investigated. Vahjen et al.[179] showed that turkey poults fed the probiotic showed a continuous increase in lactate concentrations in the small intestine, which in turn stimulated the growth of other LAB, especially lactobacilli. This stimulatory effect of lactobacilli was suggested to benefit the animal as it could repress potentially harmful bacteria during the early stages of life.[179] Benyacoub et al.[180] studied the effect of the probiotic E. faecium SF68 on young dogs and found that the probiotic enhanced specific immune functions when compared to an untreated control group. Administering the probiotic occurred at the time at which a vaccine for canine distemper virus was given. It could be shown that fecal IgA and canine distemper vaccine – specific circulating IgG and IgA were higher in the treated puppy group when compared to the control group Furthermore, mature B cells (CD21þ/MHC class IIþ) were greater in the group fed the probiotic.[180] Another probiotic for human use that contains enterococci is the Causidow culture that consists of two strains of S. thermophilus and one of E. faecium. This probiotic has been claimed to be hypocholesterolaemic in the short term,[181] but long-term reduction

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Hoang-Dung TRAN and friends of low-density lipoprotein (LDL) cholesterol levels was not demonstrated;[182,183] hence, the clinical relevance of this effect is uncertain.[184] Cholesterol-lowering effects of probiotics have often been linked to bacterial bile salt hydrolase (BSH) activity. BSH activity is mediated by various gram-positive intestinal bacteria, including members of the genera Enterococcus, Peptostreptococcus, Bifidobacterium, Clostridium, Bacteroides, and Lactobacillus.[185,186] The conjugated BSH enzyme (E.C. 3.5.1.24) deconjugates bile salts by liberating the glycine and/or taurine moiety from the side chain of the steroid core. It was hypothesized that deconjugation of bile salts may contribute to lower cholesterol levels because free bile acids may more likely be excreted from the gastrointestinal tract than conjugated bile salts.[186] If enhanced fecal loss of bile acids occurs as a result of bacterial BSH activity, it may increase the demand for cholesterol as a precursor for de novo synthesis of bile salts, which in turn may lower cholesterol levels.[187,188] In a study on enterococci isolated from foods, we screened 117 Enterococcus strains isolated from food (47 E. faecium, 48 E. faecalis, 16 E. durans, 2 E. gallinarum, 3 E. casseliflavus, and 1 E. malodoratus) for BSH activity. The highest incidence of BSH active strains was observed for E. faecalis (81%) followed by E. faecium (50%) and E. durans (44%). Thus, bile salt hydrolase activity appears to be a fairly common trait among enterococci. In addition to its suggested effects of lowering cholesterol levels in probiotic strains, BSH activity was also suggested to allow bacteria to survive conditions and grow in the gastrointestinal tract.[189] For a probiotic strain, this could be interpreted as a beneficial technological trait. In contrast to the desirable cholesterol-lowering effect, it should be mentioned that BSH activity may also have adverse effects in that extensive deconjugation of bile salts in the human small bowel can lead to steatorrhea and that secondary (dehydroxylated) bile salts, generated by the enzymatic conversion of primary bile salts by other intestinal bacteria, are cytotoxic and co-carcinogenic.[190] The use of enterococci as probiotics remains a controversial issue. While the probiotic benefits of some strains are well established, the emergence of antibiotic-resistant strains of enterococci and the increased association of enterococci with human disease (see below) have raised concern regarding their use as probiotics. The fear that antimicrobial resistance genes or genes encoding virulence factors can be transferred to probiotic strains in the gastrointestinal tract contributes to this controversy.

VI.

ENTEROCOCCI IN HUMAN DISEASE

A.

Infections Caused by Enterococci

Enterococci are typical opportunistic pathogens and usually cause infections in patients who have severe underlying disease, who have received surgery, or who are immunocompromised.[191] They are usually associated with hospital-acquired infections and cause bacteremia, endocarditis, and urinary tract and other infections.[191,192] They rank among the most prevalent organisms encountered in nosocomial infections, accounting for approximately 12% of nosocomial infections in the United States.[193] E. faecalis predominates among enterococci isolated from human infections (.80%), while E. faecium is associated with the majority of the remaining infections.[194] A shift towards E. faecium strains as the causative agent in enterococcal bacteraemia was noted, probably because of the emergence of vancomycin-resistant strains.[195]

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Hoang-Dung TRAN and friends Bacteremia is a common form of opportunistic enterococcal infection.[191,196,197] Compared with a steady reduction in community-acquired cases of enterococcal bacteremia, nosocomial cases may have increased threefold and account for up to 77% of cases.[191,198 – 200] Risk factors associated with enterococcal bacteremia include underlying disease, presence of urethral or intravascular catheters, surgery, major burns, multiple trauma, or prior antibiotic therapy.[196] Sources of enterococci causing bacteraemia without endocarditis are most commonly from the urinary tract, but the gastrointestinal and hepatobiliary tracts have also been implicated.[43,190,196] Mortality from enterococcal bacteremia is generally high, most probably because of the underlying complicating factors.[192,201] Enterococci cause an estimated 5 –15% of cases of bacterial endocarditis, with E. faecalis more commonly involved than E. faecium.[191,192] The enterococci usually originate from the urinary tract,[43,194,200] and underlying heart disease is often present, but it is not a prerequisite for development of this infection.[43,191,192] Endocarditis often occurs in patients that had preceding genitourinary instrumentation or urinary tract infection (UTI), abortion, or urinary tract instrumentation.[43,192,203] Urinary tract infections are commonly caused by enterococci, especially in hospitalized patients. These infections occur especially in persons who had surgery, received antibiotics, had structural abnormalities, or had recurrent enterococcal infections.[43,192,203] Infections of the central nervous system by enterococci are rare and are seen primarily in neonates and persons who have undergone complicated neurological procedures.[191,203] Enterococci causing neonatal infection are thought to originate from the vagina, because they are detected in the vaginal microflora in 25% of healthy women.[196] E. faecium and E. faecalis have been implicated in outbreaks of neonatal central nervous system infections, although infections of older children and adults have also been reported.[192,204] Enterococci may cause or contribute to abdominal and pelvic abscess formation and sepsis.[192] They were reported as a cause of spontaneous peritonitis in cirrhotics and nephrotics and may be associated with peritonitis in patients on peritoneal dialysis.[19,192] Dialysis catheters and prior use of antibiotics are predisposing factors for intra-abdominal infections by enterococci.[43,205]

B.

Antibiotic Resistance

A specific cause for concern and a contributing factor to pathogenesis of enterococci is their resistance to a wide variety of antibiotics.[192,206,207] Enterococci are either intrinsically resistant and resistance genes are located on the chromosome, or they possess acquired resistance determinants which are located on plasmids or transposons.[192,208] Examples of intrinsic antibiotic resistance include resistance to cephalosporins, b-lactams, sulfonamides, and low levels of clindamycin and aminoglycosides, while examples of acquired resistance include resistance to chloramphenicol, erythromycin, high levels of clindamycin and aminoglycosides, tetracycline, high levels of b-lactams, fluoroquinolones, and glycopeptides such as vancomycin.[192,207] Intrinsic resistance to many antibiotics suggests that treatment of infection could be difficult. However, combinations of cell-wall– active antibiotics such as penicillin or ampicillin with aminoglycosides (e.g., streptomycin, kanamycin, and gentamicin) act synergistically and have been used successfully in treatment of enterococcal infection.[192,209 – 211] Since the early 1970s, a high level of streptomycin and gentamicin resistance was reported, and strains resistant to penicillin-streptomycin or penicillin-gentamicin

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Hoang-Dung TRAN and friends combinations were also found.[209] In 1983 a strain of E. faecalis producing a b-lactamase identical to that produced by S. aureus was reported, and it is believed that this strain of Enterococcus received the gene from S. aureus.[212] The hitherto successful penicillinaminoglycoside treatment was no longer a viable option, resulting in a major therapeutic problem.[191,210] Enterococcal penicillin resistance occurs by two different mechanisms. One involves the production of penicillin-binding proteins (PBPs) with decreased affinity for the antibiotic, while the second involves hydrolysis of the penicillin molecule by b-lactamase. While resistance based on PBPs with reduced affinity for penicillin is more common among E. faecium strains, resistance based on b-lactamase is more common for E. faecalis strains.[213] The gene encoding high level resistance (HLR) to gentamicin in E. faecalis has the same nucleotide sequence as the gentamicin resistance gene of staphylococci, and it was suggested that enterococci received this gene from staphylococci.[214,215] HLR to gentamicin in E. faecium occurred after its appearance in E. faecalis and was first reported in 1998.[215] Acquired high-level gentamicin resistance results from the transfer of genes encoding aminoglycoside-modifying enzymes by conjugative plasmids and transposons.[211] HLR to aminoglycosides in enterococci is due to the synthesis of one or more of a series of aminoglycoside-modifying enzymes such as aminoglycoside acetyltransferases (AAC), aminoglycoside adenyltransferase (AAD), and aminoglycoside phosphotransferases (APH). The aminoglycoside-modifying enzymes that have been identified in enterococci (and staphylococci) are APH(30 ), APH (200 ), AAD(6), AAD(40 ), and AAC(60 ).[211] Ferretti et al.[214] showed that the genes for the two aminoglycosidemodifying enzymes aac-60 and aph-200 had probably fused to generate an extremely powerful enzyme complex conferring resistance to all clinically useful aminoglycosides (gentamicin, tobramycin, amikacin, and netilmicin) with the exception of streptomycin. The worldwide dissemination of HLR to gentamicin appears to stem from the spread of this enzyme’s (aac60 -aph200 ) gene via plasmids and transposons.[211] Vancomycin resistance is of special concern because this antibiotic was considered a last resort for treatment of multiply resistant enterococcal infections. In addition, this antibiotic was given as an alternative to ampicillin or penicillin/aminoglycoside treatment to persons with allergy against penicillin or ampicillin.[191] In the mid-1990s in Europe the source of vancomycin-resistant enterococci (VRE) was shown to be most likely farm animals as a result of ergotropic use of avoparcin, a glycopeptide antibiotic.[216 – 218] VRE have indeed been isolated from a wide variety of farm animals, and these constitute an important reservoir of VRE that could be transmitted to the hospital environment via contaminated meat.[216,217,219 – 221] These findings strongly suggest that food transmission occurred, and, as a result, two European countries (Denmark and Germany) banned the use of avoparcin,[191] followed by a European Union – wide ban.[222] Not only food, but also contact between the farm animal and humans at avoparcin-exposed farms also resulted in human VRE colonization.[223,224] There are conflicting results on the effect of the avoparcin ban on the incidence of vancomycin resistance among enterococci. Borgen et al.[55,225] showed that VRE were isolated from poultry and poultry farmer’s feces as well as poultry carcasses at a high incidence even 3 years after agricultural use of avoparcin was banned. In contrast, Klare et al.[226] showed that the incidence of VRE from frozen and fresh poultry meats decreased 2 years after the avoparcin ban. Moreover, the incidence of VRE isolated from the feces of healthy volunteers had decreased by half.[226]

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Hoang-Dung TRAN and friends In the United States, the situation with respect to nosocomial VRE infections appears to differ considerably from that in Europe because avoparcin has not been licensed for use.[222] A community prevalence survey failed to isolate VRE from healthy volunteers without hospital exposure and from environmental sources or probiotic preparations.[227] In contrast to Europe, transmission of VRE in the United States does not appear to be from the community to the hospital, and food has not been implicated as a possible vehicle for transmission. This indicates that clinical use of vancomycin is responsible for development of VRE. The emergence of vancomycin-resistant enterococci (VRE) in hospitals has led to infections that cannot be treated with conventional antibiotic therapy, and thus such strains pose a serious medical concern.

C.

Virulence Factors

Antibiotic resistance alone cannot explain the virulence of enterococci, and to cause infection, enterococci must have virulence factors that allow the infecting strains to colonize host tissue, invade host tissue, and translocate through epithelial cells and evade the host’s immune response. Furthermore, such virulent strains must produce pathological changes either directly by toxin production or indirectly by inflammation.[228] In the past, enterococci were considered to possess subtle virulence traits that were not easily identified.[194] However, considerable progress has been made in determining virulence traits from clinical isolates, and each of these may be associated with one or more of the stages of infection mentioned above. 1.

Aggregation Substance

Aggregation substance (AS) (Table 4) is an adhesin that is encoded on pheromoneresponsive plasmids. Expression of the AS gene is induced by sex pheromones that are small (7 –8 amino acids) hydrophobic peptides, which are excreted by plasmidless, recipient strains of E. faecalis. Binding of the pheromones by the donor strain leads to expression of AS on the cell surface. AS leads to clumping of donor and recipient cells by binding to a complementary receptor termed binding substance. The clumping of cells leads to a highly efficient transfer of the pheromone plasmid on which the AS gene is encoded.[229,230] However, AS is also involved in binding to eukaryotic cells. The molecule contains two RGD (Arg-Gly-Asp) amino acid motifs that promote E. faecalis adhesion to eukaryotic cells, such as pig renal tubular cells, via integrin receptors.[231] AS was shown to bind to a variety of cells via such b2-type integrins, including human macrophages and intestinal epithelial cells.[232,233] Moreover, AS was determined not only to bind to eukaryotic cells, but also to extracellular matrix (ECM) proteins such as fibronectin, thrombospondin, vitronectin, and collagen type I.[234] To cause abdominal infection and bacteremia, enterococci must penetrate the intestinal or genitourinary epithelium and enter the lymphatic and/or vascular system.[235,236] During this translocation process, the enterococci encounter the basal membrane and extracellular matrix proteins. Especially in cases of intestinal lesions, the ability to adhere to exposed extracellular matrix proteins is thought to promote bacterial translocation. Only limited data are available on translocation of enterococci through intact epithelial cell layers. Sartingen et al.[232] showed that AS promoted internalization of enterococci by enterocytes derived from the colon and the duodenum, but these AS-producing enterococci strains were not able to translocate enterocytes in an

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Table 4

Virulence Factors Found in Some Enterocccus Strains and (Suggested) Association with Stage of Virulence Virulence determinant

(Suggested) association with stage of virulence

Aggregation substance (AS)

Adhesion to eukaryotic cells (adhesin)/ promotes colonization Invasion of eukaryotic cells (invasin) Adhesion to extracellular matrix proteins (may promote translocation) Increases survival in immune cells (evasion of host immune response) Eukaryotic cell toxin Lyses immune cells (evasion of host immune response) Can hydrolyze various biological peptides, e.g., collagens and fibrin (role in translocation?) Can hydrolyze antibacterial peptides (evasion of host innate immune response) Adhesin, promotes colonization Exhibits characteristics of MSCRAMMs—role in evasion of immune response? Adhesion to extracellular matrix proteins (may promote translocation) Exhibits MSCRAMM characteristics—role in evasion of immune response? Adhesin: role in endocarditis

Cytolysin (Cyl)

Gelatinase (Gel)

Enterococcal surface protein (Espfs and Espfm)

Adhesin to collagen of E. faecalis (Ace) or E. faecium (Acm)

Endocarditis antigen from E. faecalis or E. faecium (EfaAfs) Hyaluronidase Capsule

Degrades hyaluronic acid, a major extracellular matrix constituent—role in translocation? Evasion of host immune response

8-hour period. However, mouse in vivo studies demonstrated that enterococci migrated across the intact intestinal mucosa and spread to the mesenteric lymph nodes, liver, and spleen when intestinal overgrowth with E. faecalis was induced.[237] Thus, Sartingen et al.[232] concluded that the incubation time (8 h) to allow for translocation studies may have been too short in their in vitro study. To date, there is no knowledge of virulence factors other than AS which play a role in invasion or translocation of enterococci. Thus, AS not only functions as an adhesin, but it may also be associated with translocation of enterococci (Table 4). Adherence to ECM proteins is also thought to play a major role in wound infections and in bacterial endocarditis.[234,238] About half of enterococcal endocarditis cases occur where subendothelial extracellular matrix proteins such as fibronectin, collagen, laminin, thrombospondin, and vitronectin are exposed.[234] AS was shown to facilitate not only adherence, but also invasion of eukaryotic cells in tissue culture.[231,232,239,240] It promoted adherence to human neutrophils (PMNs) as well as adherence to and phagocytosis by human macrophages.[233,241] AS also promoted adherence to and increased intracellular survival of enterococci in host immune cells, such as macrophages and neutrophils (PMNs).[233,242] In activated human neutrophils, it was shown that the phagosomes containing AS-bearing enterococci were markedly larger

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Hoang-Dung TRAN and friends than phagosomes containing opsonized E. faecalis, suggesting that some modification of phagosomal maturation may be involved in AS-induced resistance to killing. In addition, the pH of PMN phagosomes was significantly higher after ingestion of nonopsonized, ASbearing E. faecalis than after ingestion of opsonized cells.[242] Su¨ssmuth et al.[233] showed that AS-bearing enterococci were significantly more resistant to killing by human macrophage during the first 3 hours postinfection, probably due to inhibition of the respiratory burst. AS is therefore considered an important multifunction virulence factor because it acts as an adhesin and invasin; in addition, it is involved in translocation as well as evasion of the immune response by intracellular survival in immune cells (Table 4).

2.

Sex Pheromones

Sex pheromones themselves can be considered as virulence determinants (Table 4). They are cleavage products of 21- to 22-amino-acid signal peptides associated with surface lipoproteins of unknown function.[243] These, as well as their surface exclusion proteins, are involved in causing pathological changes such as acute inflammation.[228] They are chemotactic for human and rat PMNs in vitro and induce superoxide production and secretion of lysosomal enzymes.[228,244,245] 3.

Cytolysin

The b-hemolysin/bacteriocin or cytolysin is a cellular toxin that enhances virulence in animal models.[122,246 – 248] In Japan, it has been shown that 60% of clinical strains involved in parenteral infection had a hemolytic phenotype, compared with only 17% of isolates from the feces of healthy individuals.[249] Similar trends were observed in a study of E. faecalis bloodstream isolates in the United States.[250] However, in a European study, only 16% of E. faecalis strains isolated from blood exhibited hemolytic activity.[251] Cytolysin production can be considered as a bacterial strategy to evade the host immune response, as Miyazaki and coworkers[252] showed that hemolytic culture supernatants of E. faecalis lysed mouse PMNs and macrophages. Thus, cytolysin can evade a host immune response by destroying cells of the immune system. Production of cytolysin appears to be a major risk factor associated with pathogenic enterococci as Huycke et al.[250] determined a fivefold increased risk of death of patients within 3 weeks of bacteremia caused by b-hemolytic enterococci, compared with bacteremia caused by non – b-hemolytic strains.[250] 4.

Enterococcus Surface Protein from E. faecalis (Espfs) and E. faecium (Espfm)

The enterococcal surface protein (Esp) produced by either E. faecalis (Espfs) or E. faecium (Espfm) is an adhesin (Table 4), and the gene encoding this trait in both Enterococcus species appears to be chromosomally encoded. The incidence of Espfs was shown to be higher among clinical strains of E. faecalis than isolates from healthy individuals,[250] indicating a role in pathogenicity. Similarly, Eaton and Gasson[254] found Espfm to be highly conserved in infection-derived isolates and environmental isolates, but absent in food and commensal isolates, which led them also to suggest a role in pathogenicity.[255] Shankar et al.[256] used an Espþ fs strain and an isogenic mutant in a mouse model of ascending urinary tract infection to show that Espfs contributed to colonisation and persistence of E. faecalis at this site. However, the Espþ fs strain did not influence histopathological changes in the animal model.[256] The presence of Espfs also increased cell

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Hoang-Dung TRAN and friends hydrophobicity, adherence to abiotic surfaces, and biofilm formation in vitro.[257] Espfs was suggested to promote colonization of host tissue by direct ligand-binding activity to the extracellular matrix in the human host.[257] This suggestion was based on the fact that Espfs exhibits characteristics of surface protein receptors designated microbial surface components recognizing adhesive matrix molecules (MSCRAMMs) that mediate binding to extracellular matrix proteins.[257] In addition to a role in adhesion, Esp may also have a function in evasion of the host’s immune response (Table 4), based on the observation that the overall structure of both Espfs and Espfm are comparable to that of MSCRAMMs.[250,252,255] The Espfs and Espfm proteins are similar in sequence and global organization. They contain a signal sequence followed by an N-terminal region and a core region that consists of repeat units.[253,255] Overall, the espfs and espfm genes and the Espfs and Espfm proteins share 89% identity.[255] Shankar et al.[253] and Eaton and Gasson[255] showed that different Espþ Enterococcus strains may exhibit variations in these repeat units, which may lead to the expression of variant proteins that are identical at the amino and carboxy termini, but differ in the number of repeats.[253,255] Such a phenomenon is thought to be related to evasion of the immune response.[253] The C-terminal regions of the Esp proteins contain a membrane-spanning hydrophobic domain and a cell wall anchor motif involved in anchoring the protein to the bacterial surface.

5.

Adhesin to Collagen from E. faecalis (Ace) and E. faecium (Acm)

Ace and Acm are adhesins (Table 4) that show structural similarity to MSCRAMMs of other gram-positive bacteria, particularly to the collagen-binding protein Cna of S. aureus.[258,259] The structural organization of all Ace, Acm, and Cna are similar in that they contain an N-terminal signal sequence followed by the collagen-binding A domain, a B region that consists of repeat units, a cell wall domain with a characteristic LPKTS motif, which is a potential target for sortase, a stretch of hydrophobic residues, which are thought to stretch the membrane followed by a short cytoplasmic charges tail.[259] Because these proteins also contain repeat units and the number of repeats can vary, this protein may also be involved in evasion of the immune response (Table 4) by mechanisms similar to those suggested by Shankar et al.[253] for Esp. Ace binds not only to collagen (types I and IV) but also to laminin.[260,261] Nallapareddy et al.[261] showed that Ace was expressed by enterococci during human infections. Ninety percent of human sera collected from patients with E. faecalis endocarditis reacted with anti-Ace antibodies. Thus, Ace may play an important role in pathogenesis of enterococci, particularly during translocation or when the intestinal epidermal layer is damaged and the underlying extracellular matrix proteins are exposed. As Enterococcus cells would become exposed to immune cells at this site, a mechanism for evading the immune system supplied by the same molecule involved in adherence may be an elegant solution for enterococci to increase their chances of survival. Acm, the collagen-binding protein from E. faecium, was shown to bind collagen types I and IV.[259] Nallapareddy et al.[259] showed that particularly the clinical strains of E. faecium exhibited binding to collagen type I, while strains from the feces of healthy human volunteers did not bind collagen I. The differences between binding capacity of clinical and community isolate strains were statistically significant, indicating that binding to collagen is a virulence factor. Interestingly, all community E. faecium isolates also contained the gene for Acm; however, this gene was in nonfunctional form as a result of

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Hoang-Dung TRAN and friends nucleotide deletions or insertion of IS6770-like insertion sequence resulting in frame-shift mutations. While Ace and Acm share some (47%) amino acid sequence similarity, Acm has a far greater similarity at the primary sequence level (62%) to the collagen-binding protein (Cna) of S. aureus.[259] While the similarity of Acm to Ace appears to be confined to the A domain, Acm has similarity to both the A and B domains of Cna.[259]

6.

Enterococcus Endocarditis Antigen from E. faecalis (EfaAfs) or E. faecium (EfaAfm)

Production of the adhesin-like E. faecalis and E. faecium endocarditis antigens (EfaAfs and EfaAfm, respectively) (Table 4) are considered to be potential virulence determinants, and expression of the EfaA was previously shown to be induced by growth of E. faecalis in serum.[262] The EfaAfs antigen shows high homology to adhesins such as FimA, SsaB ScaA, and PsaA from streptococci. EfaAfs was suggested to play a role in adhesion in endocarditis.[262] However, so far only the efaAfs gene was shown to influence pathogenicity in animal models.[263] The genetic determinant for production of EfaA has been sequenced and the efa operon consists of three genes (efaC, B, A) which have homology to ABC-type metal ion transport systems.[264] The first gene efaC encodes an ATP-binding protein, the second (efaB) a hydrophobic transmembrane protein, while the third (efaA) probably functions as a solute-binding protein receptor for the ABC transporter complex. Low et al.[264] suggested that EfaCBA is a manganese-regulated operon that functions as a high-affinity manganese permease in E. faecalis. It plays a role in the infection of human tissues, where the Mn2þ availability may be as low as 20 nM.[264] 7.

Gelatinase

Gelatinase is an extracellular Zn-metalloprotease (EC 3.4.24.30) that acts on a variety of substrates such as insulin-b chain, collagenous material in tissues, the vasoconstrictor endothelin-1, as well as sex pheromones and their inhibitor peptides.[265] Production of gelatinase increased pathogenicity in an animal model.[263] Ku¨hnen et al.[266] reported that protease-producing E. faecalis were common (63.7%) among enterococci isolated from intensive care units in Germany, and Coque et al.[267] showed that 54% of clinical enterococci isolates from patients with endocarditis and other nosocomial infections produced protease. The gene for gelatinase (gelE) is located in an operon together with a gene (sprE) encoding a serine protease.[268] Mutants containing both defective gelE and sprE genes led to delayed time to death in a mouse peritonitis model,[263,268] suggesting that both GelE and SprE are important in the infection in this animal model. However, the authors could not determine whether GelE independently influences the outcome of this enterococcal infection.[268] GelE was shown to cleave fibrin, which was suggested to have important implications in virulence of E. faecalis as the secreted protease can damage host tissue and thus allow bacterial migration and spread (Table 4). Waters et al.[265] suggested that enterococci in blood infections and vegetations formed during endocarditis were likely to be coated with polymerized fibrin. Expression of GelE would lead to degradation of this fibrin layer surrounding the bacteria and allow further dissemination of the organism. In addition to its role in virulence, GelE was also shown to affect a variety of important housekeeping functions. For example, GelE clears the bacterial cell surface of misfolded proteins and is also responsible for activation of an autolysin. This muramidase-1 autolysin functions to

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Hoang-Dung TRAN and friends reduce chain length.[265] GelE also degrades sex pheromones and their inhibitors. Waters et al.[265] postulated that overall GelE plays a crucial role for dissemination of the organism in high-cell-density environment. Accordingly, degradation of fibrin would aid not only in dissemination, but also in reduction of chain length as a result of autolysin activation. Furthermore, once enterococcal growth reaches high densities, the degradation of sex pheromones decreases aggregation of bacteria, which also increases the potential for dissemination.[265] The supernatant from a gelatinase-expressing E. faecalis strain was also shown to inactivate the antibacterial peptide LL-37.[269] The peptide LL-37 is part of the innate immune system and has been isolated from epithelial cells, neutrophils, and subpopulations of lymphocytes and monocytes. Peptide LL-37 belongs to the family of antimicrobial peptides termed cathelicidins and is activated when cathelicidin hCAP-18 is processed by proteinase 3.[269] Degradation of antimicrobial peptides which are part of the innate immune system thus is a further GelE-associated enterococcal virulence factor (Table 4).

8.

Hyaluronidase

Enterococci may produce hyaluronidase, an enzyme that degrades hyaluronic acid, which is a major component of the extracellular matrix (Table 4). Because production of this enzyme was linked to pathogenesis of other microorganisms, it was suggested that it may also play a role in enterococcal pathogenesis. However, there is no direct evidence for the role of hyaluronidase in disease caused by enterococci.[194,270] Recently, the gene sequence for the hyaluronidase gene hylEfm from an E. faecium strain was determined.[270] This gene consisted of 1659 bp, which encodes a putative protein of 533 amino acids with a theoretical molecular weight of 65,051 kDa. The hyaluronidase from E. faecium exhibited 42% identity and 60% similarity to a hyaluronidase from S. pyogenes.[270] Rice et al.[270] screened a large number of E. faecium strains for the incidence of hylEfm and espfm genes. These strains were form stool or nonstool origin isolated from both hospitalized and community-based persons. Isolates from animals, waste water, and probiotic strains were also investigated. Rice et al.[270] showed that the presence of espfm was roughly twice that of hylEfm , and both genotypes were found primarily in vancomycin-resistant E. faecium isolates from nonstool cultures obtained from patients hospitalized in the United States. Their data suggested that specific E. faecium strains may be enriched in determinants that make them more likely to cause clinical infections.[270] 9.

Capsule

Huebner et al.[271] purified a capsular polysaccharide and determined that it consisted of a repeat structure of kojibiose linked 1,2 to glycerolphosphate. By raising antibodies to this capsular polysaccharide, they used immunogold labeling to show the presence of the capsule surrounding enterococci in electron microscopic studies.[271] They also showed that one third of a sample of 15 clinical E. faecalis strains and 7 vancomycin-resistant E. faecium strains of clinical origin possessed such capsular polysaccharides.[271] Hancock and Gilmore[272] studied a different capsular polysaccharide from E. faecalis, of which the overall composition of the polymer showed some relation to the carbohydrate purified by Huebner et al.[271] However, while the capsular carbohydrate of Huebner et al.[271] contained glucose, glycerol, and phosphate in a 2 : 1 : 2 ratio, that of Hancock and Gilmore[272] contained glucose, galactose, glycerol, and phosphate in a 4 : 1 : 1 : 2 ratio. The nature of the linkages and the structure of the capsular polysaccharide were not determined by

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Hoang-Dung TRAN and friends Hancock and Gilmore.[272] Using the capsular polysaccharide-producing strain and an isogenic mutant in a murine cutaneous infection model, Hancock and Gilmore[272] were also able to show that the mutant was more readily cleared from a resulting abscess, as measured by reduction in viable microorganisms from the abdominal lymph nodes that drain this site. This clearly indicated that the production of a capsule does offer some protection to the host’s defense mechanisms and that the production of a capsule by some enterococcal strains may play an important role in evasion of the immune response

10.

Other Virulence Determinants

Recently, an outbreak of sepsis similar to a toxic shock – like syndrome in humans involving both humans and pigs was attributed to a strain of E. faecium.[273] This led the investigators to believe that this particular Enterococcus strain may harbor gene(s) encoding toxin(s) similar to streptococcal pyrogenic exotoxins (spe).[273] However, toxin structure and the genetic basis for production of this toxin have not yet been studied. VII.

REGULATION OF ENTEROCOCCUS VIRULENCE GENE EXPRESSION

Production of aggregation substance (AS) is a tightly regulated phenotype, because autoinduction by a plasmid-bearing donor strain must be prevented. To counteract autoinducing activity, the plasmid-bearing donor cell also excretes a competitive inhibitor, which prevents self-induction and also provides the threshold that allows recipients in the immediate environment to overcome their inhibitory activity with their secreted pheromone.[274] For Asc10, the AS of the sex pheromone plasmid pCF10, the inhibitor iCF10 is secreted at an 80-fold excess to the pheromone cCF10.[274] Induction by cCF10 contained in the cell wall is prevented by cell membrane – associated protein PrgY. Induction occurs if neighboring cells tip the balance in favor of cCF10, which is bound in the cell wall by the pheromone-binding protein PrgZ and consequently imported into the cytoplasm by an Opp (oligopeptide permease) system. The pheromone then interacts with regulatory protein PrgX to allow AS expression. PrgX also controls the transcription of the prgQ promoter, which allows production of iCF10.[274] Hirt and coworkers[274] showed that the AS of pCF10 is actually induced in vivo and could increase pathogenicity, as measured by size of aortic valve vegetation in a rabbit endocarditis model. In addition, they showed that the expression of AS conferred a survival advantage to cells harboring the plasmid and led to a highly efficient transfer of plasmid. The involvement of the pheromone-sensing system for in AS expression in plasma was confirmed by the absence of AS induction in a mutant lacking the pheromone-sensing protein prgZ. An interaction of plasma components with the inhibitor peptide iCF10 was proposed as affecting the mating behavior.[274] Production of cytolysin is also a regulated phenotype. Regulation is based on autoinduction and a two-component regulatory system that responds to quorum sensing.[275] The genes necessary for cytolysin production include cylLL, cylLS (encode structural cytolysin subunits), cylM (encodes protein for intracellular modification of cytolysin), cylB (encodes ABC transporter protein), cylA (encodes protein for extracellular cytolysin activation), and cylI (encodes immunity protein), which are arranged in a collinear fashion. Upstream of these biosynthesis and immunity genes on the opposite DNA strand are two ORFs (cylR2 and cylR1), which encode regulatory proteins, consisting of a nonglobular, a-helical

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Hoang-Dung TRAN and friends protein with a helix-turn-helix DNA-binding motif (CylR2) and an a-helical protein with three predicted transmembrane domains (CylR1). Together these were shown to repress the cytolysin operon. The inducer for expression of cytolysin was shown to be the smaller, active cytolysin subunit CylLS00 , and autoinduction was shown to be dependent on celldensity, i.e., by a quorum-sensing mechanism.[275] Unlike other well-known quorum-sensing systems, this two-component regulatory system did not consist of a protein histidine kinase and a response regulator, rather it depends on a small helix-turn-helix DNA-binding protein and a transmembrane protein of unknown function.[275] The Enterococcus faecalis endocarditis antigen EfaAfs , as mentioned above, is regulated by Mn2þ. The efaCBA operon encodes a putative ABC transporter (Efa permease), of which the EfaA component forms the endocarditis antigen. Transcription of the efaCBA and EfaA production is repressed by Mn2þ by a Mn2þ-responsive transcriptional regulator EfaR, which shares 27% identity with the Corynebacterium diphtheria diphtheria toxin repressor DtxR.[264] Low et al.[264] suggested that when Mn2þ is abundant, intracellular levels rise, resulting in EfaR-Mn2þ complexes that bind the efaCBA promoter, inhibiting transcription and hence reducing Mn2þ uptake. However, if bacteria encounter host tissues or human serum where Mn2þ availability is low, the EfaR apoprotein cannot bind the efaC promoter, derepressing efaCBA expression and hence increasing Efa permease levels and Mn2þ scavenging. This may increase the survival of enterococci in the human environment and thus contribute to virulence. Production of gelatinase is another regulated phenotype. Upstream of the E. faecalis gelE and sprE genes, there are three genes designated fsr (for E. faecalis regulator) that regulate the expression of gelE and sprE. These genes have homology with the Staphylococcus aureus agr genes. In S. aureus, the agr/hld locus contains five genes that encode a quorum-sensing system that regulates the expression of virulence factors.[276 – 278] The Agr regulatory system upregulates the expression of secreted proteins such as a-toxin, b-toxin, d-toxin, enterotoxin B, toxic shock syndrome toxin 1, and serine protease and downregulates surface proteins such as protein A, coagulase, and fibronectin-binding protein.[268,276] In this system, agrA and agrC encode a response regulator and a sensor transducer, respectively, while agrD encodes a pheromone peptide that acts as an autoinducer.[268] Qin et al.[268] demonstrated that for the Fsr system, a cyclic peptide termed gelatinase biosynthesis-activated pheromone (GBAP) is the autoinducer.[279,280] The amino acid sequence of this peptide corresponds to the C-terminal part of a 242-amino-acid protein encoded by fsrB.[279] The FsrA protein has 38% similarity to the AgrA protein that encodes the response regulator in the S. aureus Agr system, while FsrC has 36% similarity to the ArgC protein that is the sensor transducer of the Agr system.[268] Homology of the Fsr system of E. faecalis to the Agr system of S. aureus, which plays such an important role in global regulation of S. aureus virulence, leads to the question whether the Fsr system plays a similar role in virulence regulation. So far, the Fsr system is only known to regulate two genes in E. faecalis, the gelatinase gene, gelE, and the serine protease gene, sprE. It was demonstrated that an fsrB deletion mutant attenuated the virulence in Caennorhabditis elegans and a mouse peritonitis model, as well as a rabbit endophthalmitis model, indicating the importance of this gene in virulence.[281,282] Teng and coworkers[283] studied virulence of enterococci by disrupting twocomponent regulatory systems in Enterococcus faecalis. Such a two-component regulatory system, as mentioned above for gelatinase regulation, consists of a protein histidine kinase and a response regulator protein pair. Using the genome sequence information of E. faecalis V583 obtained from The Institute of Genomic Research (TIGR), they

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Hoang-Dung TRAN and friends identified 11 homologues to the PhoP-PhoS global two-component regulatory system of Bacillus subtilis.[283] Seven of these pairs were disrupted in E. faecalis strain OG1RF and one mutant, disrupted in the etaR gene of the gene pair designated etaRS, showed a delayed killing and a higher lethal dose in a mouse peritonitis model. In addition, they showed that the mutant was more sensitive to low pH and high temperature than the wild-type strain, indicating that etaRS may regulate different operon(s) involved in virulence and stress response.[283] Shepard and Gilmore[284] used real-time PCR to study virulence gene expression and show that AS, Esp, Ace, EfaA, and Gel are induced in serum or urine. However, both environment and growth phase variations were observed, demonstrating the occurrence of uncharacterized control mechanisms for gene expression that may play an important role in vivo.[284]

VIII.

INCIDENCE OF VIRULENCE FACTORS AMONG ENTEROCOCCI FROM FOOD

Much progress has been made in determining virulence factors from clinical enterococcal isolates using molecular biological techniques and model animal experiments as described above. Moreover, a number of studies also concerned the incidence of virulence factors of enterococci isolated from foods. Such studies may allow evaluation of the safety of strains intended for use as probiotics or starter cultures. Eaton and Gasson[254] showed that enterococcal virulence factors were present in food and medical isolates, as well as strains used as starter cultures. However, the incidence of virulence factors was higher among the medical strains than food isolates, and the lowest incidence was observed for starter strains. Strains of E. faecalis harbored multiple virulence determinants, while E. faecium strains were generally clear of virulence determinants.[254] A similarly low incidence of virulence factors was observed among E. faecium strains isolated from food in a previous study, in which only a few strains produced either haemolysin (8.3%) or Esp (2.1%).[282] However, E. faecalis strains also harbored multiple virulence determinants, with a much higher incidence than in E. faecium. Semedo et al.[286] showed that virulence determinants occurred among food, commensal and clinical isolates of enterococci, but that virulence determinants were significantly associated with a high virulence potential, whereas food and commensal strains harbored fewer virulence determinants. The finding that virulence determinants such as cytolysin, Esp, EfaAfs , and EfaAfm were found also in other enterococcal species apart from E. faecalis and E. faecium led these authors to speculate that the occurrence of virulence determinants is a common trait in the genus Enterococcus.[286] The incidence of antibiotic resistance among enterococci from food was also investigated.[55 – 58,287] These studies showed that although many strains were found resistant to one or more of the antibiotics, the majority of the isolates, especially the E. faecium, were sensitive to the clinically relevant antibiotics such as penicillin, ampicillin, streptomycin, and vancomycin.[54,57,285,287] Nevertheless, the occurrence of vancomycin-resistant strains and strains with multiple antibiotic resistances was reported,[287,285] which gives rise to concern. IX.

TRANSMISSION ROUTES AND TRANSFER OF VIRULENCE DETERMINANTS/ANTIBIOTIC RESISTANCES

Evidence is gathering that enterococci from the environment or from foods can survive in and, at least transiently, establish themselves in the human gastrointestinal tract. The study

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Hoang-Dung TRAN and friends of Gelsomino et al.[35] mentioned above showed that identical three clones, one of E. faecalis and two of E. casseliflavus, predominated among farm equipment, milk, cheese, and human fecal samples.[35] In a variety of studies, genetically indistinguishable enterococci have been found in both animals and humans, suggesting that animal-derived enterococci may colonize the human gut.[219,223,225,288,289] Donabedian et al.[290] studied gentamicin-resistant enterococci occurring in food animals, food products from animals of the same species, and feces from humans and found that isolates with indistinguishable PFGE patterns could be recovered from food and from human stool. Their results indicated a dissemination of gentamicin-resistant enterococci from food-producing animals to humans through the food supply.[290] In contrast, Willems et al.[291] investigated vancomycin-resistant E. faecium strains from hospitalized patients, nonhospitalized persons, and various animal sources by AFLP genotyping. These investigators suggested that there was a noticeable host specificity. However, in a genotypic study on a large number of E. faecium strains from food, veterinary, and human sources isolated from different geographical origins, Vancanneyt et al.[36] could not confirm such a host specificity. Whether host specific or not, it does appear that enterococci can be naturally transmitted from food animals or foods to the human gastrointestinal tract. One obvious question, then, is how well these bacteria are able to establish themselves in this environment. Studies done so far suggest that they will be present only transiently. Berchieri[292] showed that ingestion of a vancomycin-resistant strain isolated from a chicken resulted in colonization of his own gut for 20 days. Lund et al.[184] showed that a probiotic E. faecium strain could not be recovered from the feces of human volunteers 31 days after ceased intake. Sørensen et al.[293] showed that vancomycin- or streptogramin-resistant E. faecium strains isolated from food which were given to human volunteers led to only transient intestinal carriage and could not be isolated after 35 days. In all these studies, however, the human volunteers were healthy subjects. It can be speculated that such colonization may not be of a transient nature for debilitated persons and/or persons who receive antibiotic treatment. It has been shown, for example, that enterococci may show a high colonization potential in antibiotic-treated mice.[294,295] Noting that transient colonization of environmental or food strains can occur raises the question whether there can be transfer of virulence factors or antibiotic resistance genes from strains ingested with food to gastrointestinal strains. Eaton and Gasson[254] studied the probability of gene transfer to starter culture strains in vitro by showing that virulence genes on a pheromone-response plasmid could be transferred to strains of E. faecalis used as starter cultures in food. However, they were not able to transfer virulence genes into strains of E. faecium starter cultures.[254] Lund and Edlund[296] showed that vancomycin-resistant genes could be transferred to a probiotic E. faecium strain in filter mating experiments. The same could be shown for the transfer to probiotic E. faecium strains used in animal nutrition by Klein and Pack.[297] However, in the study of Klein and Pack[297] the transfer rate was considerable lower than to a clinical E. faecium control strain. The possibility of transfer of virulence factors under in vivo conditions was studied by Huycke,[298] using a hamster model of enterococcal intestinal overgrowth. They showed that pheromone-responsive plasmids carrying either antibiotic or cytolysin genes could be effectively transferred in the hamster gastrointestinal tract, even in the absence of selective pressure with antibiotics.[298] Licht et al.[299] used a new animal model, the streptomycin-treated minipig, to show that the pheromone-response plasmid pCF10 could be transferred in the gastrointestinal tract to other E. faecalis strains, again even when there was no selective pressure with antibiotic.[299] From the above

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Hoang-Dung TRAN and friends examples it is noticeable that for such gene transfer studies the pheromone-response plasmids were often used, which have a natural high transfer frequency.[229] This may exaggerate the transferability rates of virulence factors or antibiotic resistance genes that are located on other type of plasmids or the transfer of nonpheromone plasmids to other enterococcal strains that generally do not harbor pheromone-response plasmids such as E. faecium strains.

X.

SAFETY OF ENTEROCOCCI STRAINS FOR USE AS STARTER CULTURES OR AS PROBIOTICS

The incidence of virulence determinants among food isolates studied so far appears to be strain specific.[254,285] One problem associated with risk assessment on the basis of virulence-determinant investigations is that knowledge is limited regarding the type and combinations of virulence factor(s) that are decisive for pathogenic potential. This is especially true in the light of findings that virulence determinants such as aggregation substance, adhesins, and cytolysin appear to be common in the genus Enterococcus and are frequently encountered in food strains.[254,285,286] It may be argued that strains that possess multiple virulence determinants associated with various stages of infection (colonization/adherence, translocation, evasion of the immune response, and induction of pathological changes) pose a higher risk than strains that possess a single virulence determinant (e.g., adhesion ability). This may also be deduced from the fact that clinical enterococci strains appear to harbor more virulence factors than food or commensal strains.[254,286] However, clear data about the relative importance of single virulence determinants in food strains are sorely lacking. Furthermore, the question as to whether food strains possess an intrinsically lower pathogenic potential than clinical isolates has still not been fully answered. In a genotyping study of E. faecium strains from humans, animals, and food, Vancanneyt et al.[36] found that all human clinical isolates of E. faecium fell into a defined subgroup, suggesting that there may be a genetic basis for strains associated with human disease. Thus, virulent subpopulations of strains of a species may exist. Furthermore, there is still not sufficient knowledge on all virulence factors, as well as a lack of detailed comparative studies between clinical and food isolates. It would be interesting to know, for example, whether food strains may also possess capsules and whether fsr genes occur in food strains. Furthermore, are there other, so-far unrecognized virulence genes that are regulated by the fsr locus or by other regulatory genes such as etaRS or efaR (see above)? Low et al.[264] found EfaR boxes in the promoter regions of several genes, including two genes that encode natural resistance –associated macrophage protein (NRAMP) homologues. This suggested that EfaR may be a global regulator, which may also be involved in regulation of as yet unidentified virulence determinants. Questions about unrecognized virulence determinants may not be answered immediately, but there is a need for safety decisions to be made. For practical present-day safety investigations, therefore, it can be suggested that if an Enterococcus strain is considered for use as starter culture or as a probiotic, each particular strain should be carefully evaluated for the presence of all known virulence factors in order to assess the potential risk for its use. Ideally, such strains should harbor no virulence determinants and should be sensitive to clinically relevant antibiotics. In general, E. faecium and other enterococci strains appear to pose a lower risk for use in foods, because strains of these species generally harbor fewer recognized virulence determinants than E. faecalis, and the incidence of such virulence determinants appears to be low. The opposite applies to E. faecalis strains, and this

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Hoang-Dung TRAN and friends may be a result of the presence of pheromone-response plasmids which encode virulence factors. Because enterococci possess different gene transfer mechanisms (e.g., pheromoneresponsive plasmids, conjugative and nonconjugative plasmids, and transposons), it is feared that enterococci may readily acquire these determinants from other enterococcal strains. This represents a possible risk related to the use of enterococci as probiotics or starter cultures. Such a risk would probably be higher for E. faecalis strains, as the gene transfer mechanism based on pheromone response plasmids is known to generally occur in this species,[229] although the presence of sex pheromone plasmids in E. faecium has been reported.[300] Knowledge on the transfer rates of plasmids to the strain intended for use as starter or probiotic culture would be of great value to assess the likelihood of in vivo transfer. Should such transfer occur, again it would be of value to know the impact of transfer of a single or more virulence determinants to the relative pathogenicity of the recipient strain. The above discussion shows that the use of enterococci in foods or as probiotic cultures clearly represents a controversial issue in the context of food safety. One should, however, not forget that enterococci are typically associated with the human environment and in particular with the human GI tract. They are also involved in most traditional food fermentations studied thus far, where they appear to play at least some positive role in the development of product-specific typical characteristics. Moreover, particular strains may be considered to be opportunistic pathogens, but it is doubtful that they would cause disease in healthy humans. This is supported by the fact that although food enterococcal strains have been described that harbor single or multiple virulence factors, the morbidity of healthy humans resulting from foodborne enterococcal infections appears to be very low. Furthermore, there are probiotic strains on the market with a long history of safe use and large-scale commercial application. Thus the host factors (i.e., physiological condition, underlying disease, immunosuppression) appear to play a key role in the establishment of an infection with enterococci, and contact of those at risk with these bacteria should be minimized.

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Madden, J.; Angulo, F.; Zervos, M.J. Molecular characterization of gentamicin-resistant enterococci in the United States: evidence of spread from animals to humans through food. J. Clin. Microbiol. 2003, 41, 1109– 1113. Willems, R.J.; Top, J.; van den Braak, N.; van Belkum, A.; Endtz, H.; Mevius, D.; Stobberingh, E.; van den Bogaard, A.; van Embden, J.D.A. Host specificity of vancomycin-resistant Enterococcus faecium. J. Infect. Dis. 2000, 182, 816 – 823. Berchieri A. Intestinal colonization of a human subject by vancomycin-resistant Enterococcus faecium. Clin. Microbiol. Infect. 1999, 5, 97– 100. Sørensen, T.L.; Blom, M.; Monnet, D.L.; Frimodt-Møller, N.; Poulsen, R.L.; Espersen, F. Transient intestinal carriage after ingestion of antibiotic-resistant Enterococcus faecium from chicken and pork. N. Engl. J. Med. 2001, 345, 1161– 1166. Dever, L.; Handwerger, S. Persistance of vancomycin-resistant Enterococcus faecium gastrointestinal tract colonization in antibiotic-treated mice. Microb. Drug. Resist. 1996, 2, 415 – 421. Donskey, C.J.; Hanrahan, J.A.; Hutton, R.A.; Rice, L.B. Effect of parenteral antibiotic administration on persistence of vancomycin-resistant Enterococcus faecium in the mouse gastrointestinal tract. J. Infect. Dis. 1999, 180, 384 – 390. Lund, B.; Edlund, C. Probiotic Enterococcus faecium strain is a possible recipient of the vanA gene cluster. Clin. Infect. Dis. 2001, 32, 1384– 1385. Klein, G.; Pack, A. Antibiotic resistance and transfer of vanA-mediated resistance of enterococci used in animal nutrition. Microecol. Ther. 1997, 26, 257 – 268. Huycke, M.M.; Gilmore, M.S.; Jett, B.D.; Booth, J.L. Transfer of pheromone-inducible plasmids between Enterococcus faecalis in the Syrian hamster gastrointestinal tract. J. Infect. Dis. 1992, 166, 1188– 1191. Licht, T.R.; Laugesen, D.; Jensen, L.B.; Jacobsen, B.L. Transfer of the pheromone-inducible plasmid pCF10 among Enterococcus faecalis microorganisms colonizing the intestine of mini-pigs. Appl. Environ. Microbiol. 2002, 68, 187 – 193. Heaton, M.P.; Discotto, L.F.; Pucci, M.J.; Hardweger, S. Mobilization of vancomycin resistance by transposon-mediated fusion of a VanA plasmid with an Enterococcus faecium sex pheromone-response plasmid. Gene 1996, 171, 9 –17. Garcı´a, E.; De Paz, M.; Gaya, P.; Medina, M.; Nun˜ez, M. Inhibition of Listeria innocua in Manchego cheese by bacteriocin-producing Enterococcus faecalis INIA 4. Milchwissenschaft 1997, 52, 667–670.

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Hoang-Dung TRAN and friends

7 Genetics of Lactic Acid Bacteria LORENZO MORELLI Catholic University of Sacred Heart, Piacenza, Italy FINN K. VOGENSEN Royal Veterinary and Agricultural University, Frederiksberg, Denmark ATTE VON WRIGHT University of Kuopio, Kuopio, Finland

I.

INTRODUCTION

The title of this chapter in previous editions of this volume, “Genetic Modification of Lactic Acid Bacteria,” aptly reflected the level of knowledge about this subject in the 1990s. The recombinant DNA techniques were developed for lactic acid bacteria (LAB) before a profound knowledge of the genetics of these organisms existed, in contrast to Escherichia coli, Bacillus subtilis, Saccharomyces cerevisiae, and other microorganisms that had been subject to intense biochemical and genetic studies for decades before the advent of genetic engineering. This situation has changed. By combining recombinant DNA techniques and other recently developed molecular biological methods in the study of LAB, an overview of the actual genetics of these bacteria is starting to emerge. The first nucleotide sequences of the total genomes of LAB are becoming available, and consequently a new, more profound understanding about their physiology and metabolic potential is currently under development. It is to be hoped that this understanding will result not only in more advanced basic and fundamental knowledge, but also in the realization of the expectations regarding the eventual practical applications of genetic techniques to LAB. The following chapter is an attempt to give both a brief outline of the history of the field and a more detailed account of the latest developments. The mass of information just becoming available makes this a challenging task, and presentation of all the interesting 249 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends research within the scope of this chapter is not possible. We hope that the reader will, however, find this chapter useful as a basic introduction to the genetics of LAB.

II.

GENOMICS OF LAB

A.

Functional Maps of Genomes

The analysis of the chromosomes of strains belonging to genera of the LAB group commenced in the early 1990s and since that time has progressed at an impressive rate. Estimation of the genome size and physical maps were the first results achieved (reviewed in Ref. [1]). The first approach for calculating genome size and intraspecies variability, before genome sequencing, was based on pulsed-field gel electrophoresis (PFGE). This technique is still widely used and has yielded macrorestriction patterns of dozens of strains belonging to almost all the major species of the LAB genera. In some cases only the size of the chromosome was calculated, but physical maps have also been deduced. Recent data obtained by genome sequencing have confirmed the accuracy of the size estimations obtained by means of PFGE. In Lactococcus lactis IL1403, PFGE estimated a size of 2.42 Mb,[2] while in the case of Lactobacillus gasseri ATCC 33323, the genome size estimated by PFGE was 1.96 Mb.[3] Genome sequences resulted in sizes of 2.36 and 1.84 Mb, respectively. The amount of data accumulated in a little more than 10 years of PFGE studies has indicated that the majority of LAB have relatively small genome sizes. The only species with a chromosome size greatly exceeding 3 Mb is Lb. plantarum,[4] which has been isolated from a number of environments (plants, intestinal and urogenital tracts, dairy products, fermented foods and feeds) and which is not restricted to specific ecological niches such as milk or the intestinal tract. This observation indicates that environmental adaptation of LAB is not only based on gene inactivation, as suggested by Morishita et al. in 1981,[5] but could also involve significant reduction in the size of the genome. However, Lb. paracasei strains, which belong to the same subgroup of the genus Lactobacillus (the so-called streptobacteria or facultative heterofermentative Lactobacillus) and which have been isolated from similar habitats as Lb. plantarum, seem to have a smaller genome size: 2.17 Mb as calculated by PFGE analysis[6] and 2.5 Mb according to the ongoing sequencing projects.[7] While it is probably too early to reach general conclusions about this matter, it is clear is that most LAB have small chromosomes. PFGE analysis has also provided clear evidence of a large strain-to-strain variability in the macrorestriction profiles of LAB, and it is used as powerful strain-typing technique. The percentage of co-migrating fragments in closely related strains of lactococci was calculated to be 80%,[8] in contrast to 20 –40% in nonrelated strains. In a similar way the DICE coefficient of similarity calculated for strains of Lb. helveticus strains ranged from 26 to 100%.[9] Strain-dependent variability also includes, in some cases, differences in genome size. In general, whenever closely related strains have been analyzed, differences of 2 – 3 Kb have been detected.[10] These differences could involve a sufficient number of genes to have an impact on the physiological and the technological properties of strains. Restriction map – based genetic maps have been obtained for Lactococcus lactis, Streptococcus thermophilus, Oenococcus oeni, Lb. sakei, and Lb. gasseri by hybridizing gene probes to the mapped restriction fragments.[3,11 – 14] The first genetic maps were obtained for lactococci and have provided an impressive demonstration of the plasticity of the LAB genome, as they revealed the rearrangements involving large sections of the

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Hoang-Dung TRAN and friends chromosome. For example, the maps of two Lc. lactis subsp. cremoris strains, MG1363 and FG2, have an inversion of approximately 40% of the chromosome when compared with the maps of two Lc. lactis subsp. lactis strains, DL11 and IL1403.[1,10,15] This inversion has been considered related to the origin of the cremoris subspecies. A closer view of the cremoris strains provided further evidence of the plasticity of lactococcal chromosomes as four regions of the chromosome of the strain FG2 were found to occupy a different and inverted position with respect to the strain MG1363.[1] Genomic instability has been detected by means of genetic mapping in clones of the S. thermophilus A054 strain spontaneously obtained by subculturing the wild-type strain. Two deletions occurred in each clone, one of which was due to the recombination between two adjacent rrn operons.[11,16] Two strains of O. oeni have been genetically mapped.[12,13] Comparative analysis revealed extensive conservation of loci order, even though the two strains were representative, on the basis of macrorestriction profiles and ribotyping, of two divergent clusters of the species.[13] Genetic mapping of lactobacilli was achieved only recently. In Lb. sakei 23K,[14] seven rrn loci (coding for ribosomal RNA genes) were found and a total of 47 gene clusters have been mapped, while the chromosome size was estimated to be 1.84 Mb. Lb. gasseri ATCC 33323 is another well-studied strain, as it has been mapped[3] and also subject to a sequencing project.[7] Mapping analysis revealed that the chromosome contained six rrn operons, one of which was inverted in orientation with respect to the others. This could be an element of instability in the chromosomal structure, as demonstrated in other LAB.[17,18] Each rrn operon contained a single copy of each of the three rrn genes-23S rRNA (rrl), 16S rRNA (rrs), and 5S rRNA (rrf ). PFGE analysis confirmed the presence of a linear plasmid of 48.5 Kb in this strain. The evidence of linear, extra-chromosomal elements in strains of Lb. gasseri was first obtained by Roussel et al. in 1993[19] by means of PFGE analysis (see Sec. III. A).

B.

Genomic Sequences

As a consequence of the small genome size of LAB and the availability of high-throughput sequencing facilities, microbial genomics is developing fast for this group of bacteria; more than 20 strains (Table 1) are being sequenced,[7] but only a few have been finished and annotated, and it is therefore presently impossible to provide an accurate and updated review. This section therefore provides general considerations on the major advances made in the functional and comparative genomics of food microorganisms, with a special focus on the two LAB genomes that, at the time of writing, have been annotated by the sequencing groups. 1.

The Lactococcus lactis Genome and Its Relationship to the Metabolic Capacity of the Species

Lc. lactis IL 1403 was the first lactic acid bacterium whose genome was completely sequenced and analyzed.[20] The presence of insertion sequences (IS) (see Sec. IV) is massive: 43 IS for a total of 42 Kb belonging to six different IS groups. This could explain the high degree of genetic plasticity encountered in LAB. The distribution of the IS elements through the 2.36 Mb of the chromosome strongly suggests that this genome may be the result of a recent recombination event between two closely related genomes: IS belonging to the IS981, IS983, and IS1077 families are unevenly distributed, which could be

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Table 1

Finished and Ongoing Sequencing Projects: Where to Find Information

Species and strain Lc. lactis subsp. lactis IL1403

Lc. lactis subsp. cremoris MG1363 Lc. lactis subsp. cremoris SK11 Lb. plantarum WCFS1 Bifidobacterium longum NCC2705 Bifidobacterium longum DJO10A Leuconostoc mesenteroides LA81/ ATCC8293 Lb. gasseri ATCC 33323 Lb. acidophilus NCFM/ ATCC700396 Lb. rhamnosus HN001 Lb.brevis ATCC367 Bifidobacterium breve NCIMB8807 Lb. paracasei ATCC 334 Lb. sakei 23K Lb. helveticus CNRZ32 Lb. casei BL23 Lb. delbrueckii subsp. bulgaricus ATCC BAA-365 Lb. delbrueckii subsp. bulgaricus ATCC 11842 Lb. johnsonii La1 (NCC2761) Streptococcus thermophilus LMG 18311 S. thermophilus LMD-9 S. thermophilus ATCC BAA-491 S. thermophilus CNRZ 1066 O. oeni PSU 1/ATCC BAA331 P. pentosaceus ATCC 25745

Web site(s) or Acc. number http://wit.integratedgenomics.com/GOLD/ http://www.ebi.ac.uk/proteome/ http://mbgd.genome.ad.jp/ http://pedant.gsf.de/ http://www.ncbi.nlm.nih.gov http://wit.integratedgenomics.com/GOLD/ Acc. BH770319-BH771051 http://wit.integratedgenomics.com/GOLD/ http://www.cmbi.kun.nl/lactobacillus/ http://www.ncbi.nlm.nih.gov http://www.jgi.doe.gov http://www.jgi.doe.gov http://www.jgi.doe.gov http://www.tigr.org/ http://wit.integratedgenomics.com/GOLD ftp://ftp.jgi-psf.org/pub/JGI_data/Microbial/ Lactobacillus_brevis/021106/ http://wit.integratedgenomics.com/GOLD

ftp://ftp.jgi-psf.org/pub/JGI_data/Microbial/ Lactobacillus_casei/ http://wit.integratedgenomics.com/GOLD ftp://ftp.jgi-psf.org/pub/JGI_data/Microbial/ Lactobacillus_delbrueckii/ http://www.genoscope.fr/ http://wit.integratedgenomics.com/GOLD http://www.tigr.org/ http://wit.integratedgenomics.com/GOLD ftp://ftp.jgi-psf.org/pub/JGI_data/Microbial/ streptococcus_thermophilus/020930/ http://wit.integratedgenomics.com/GOLD http://www.jgi.doe.gov http://www.jgi.doe.gov

explained by a lateral transfer from a donor Lactocccus strain, carrying one type of IS, to a recipient strain carrying another type of IS. Prophages are also present with either complete or defective genomes. The genome plasticity of Lc. lactis strains has been further demonstrated by Le Bourgeois et al.[21] Nine strains of the Lc. lactis subsp. cremoris (NCDO712, NCDO505,

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Hoang-Dung TRAN and friends NCDO2031, NCDO763, MMS36, C2, LM0230, LM2301, and MG1363) were studied by pulsed-field gel electrophoresis. These strains were considered adequate for the investigation of genome plasticity because they were described as belonging to the same genetic lineage. Several macrorestriction fragment length polymorphisms (RFLP) have been found, and Southern hybridization analysis correlated the polymorphic regions with genetic events such as chromosomal inversion, integration of prophage DNA, and location of the transposon-like structures. Comparison with 2236 predicted proteins of S. pneumoniae, another gram-positive bacterium with low guanine and cytosine (GC) content, revealed that 905 are highly similar to those from Lc. lactis IL1403. Biosynthetic capabilities of lactococci, as revealed by genome analysis, include genes for the biosynthesis of 20 amino acids. However, it is well known that this bacterium requires at least 6 amino acids to grow in a synthetic medium. The presence of mutation potentially leading to inactivation of the respective gene was detected in 30 of the genetic determinants involved in amino acid biosynthesis.[20] De novo biosynthesis of purine compounds has been suggested by the presence of 57 genes involved in this metabolism, which is of paramount relevance for a bacterium adapted to ferment milk, a substrate containing low levels of these DNA building blocks. Surprisingly, genome analysis of this facultatively anaerobic bacterium has led to the discovery that functions required for aerobic respiration are also present among the chromosomal genes; therefore, Lc. lactis cannot be considered an exclusively fermentative microorganism.

2.

The Genomic Sequence of Lactobacillus plantarum

The complete genome sequence of Lb. plantarum WCFS1, a derivative of the human isolate NCIMB88226, has been published.[22] It is a 3.3 Mb circular chromosome with 3052 potential protein-encoding genes. It has been possible to assign a biological function to more that 2500 predicted proteins, but 344 hypothetical proteins had no database matches. The most striking feature resulting from the sequence analysis was the high potential of this bacterium to import and metabolize a range of carbon sources. On the other hand, this strain seems to lack the primary enzyme for protein breakdown, the extracellular protease that has been found in Lc. lactis. Quite surprisingly, a gene cluster encoding for nonribosomal peptide synthesis has been found, the first example of such a system in LAB. 3.

Comparative Sequence Data Available from Other LAB

A comparative analysis of the genomes of two strains of lactobacilli belonging to species inhabiting the intestinal tract has also been performed.[23] Analysis of Lb. acidophilus NCFM and the Lb. gasseri ATCC 33323 genomes showed some regions of extended homologies. These regions appear to be fragmented internally, indicating only localized similarities. No long stretches of continuous homology could be detected. Besides the linear regions of similarity, three large-scale genome inversions were detected. One of these inversions causes a strong asymmetrical GC skew distribution. A hypothetical reversion of this region would not only restore the GC skew but also reestablish a direct similarity between the 0.48– 0.52 Mb region of Lb. gasseri and the 1.96 – 1.99 Mb region of Lb. acidophilus. This situation strongly resembles what has been previously described in the chromosomes of the two subspecies of Lc. lactis,[15] but the DNA level comparison between Lb. acidophilus NCFM and Lc. lactis IL1403 showed no extended region of simi-

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Hoang-Dung TRAN and friends larity.[23] Stress operons in Lb. acidophilus NCFM[24] have been shown to have a high degree of similarity with the same genetic structure found in distant Lactobacillus species such as Lb. sakei. A preliminary characterization of the genome of S. thermophilus CNRZ 1066[25] has shown the presence of a high number of truncated ORFs; this observation could indicate an adaptation of this bacterium to a nutrient-rich environment such as milk. The sequencing of the entire chromosome of O. oeni Lo84.13[26] has revealed the presence of 1806 putative coding sequences, distributed in a 1.82 Mb circular genome.

C.

Genome Plasticity Versus Environment

The genomes of LAB sequenced and commented on suggest adaptation to the environment, which is strongly reflected in the genome organization. If we take into consideration the Lc. lactis genome, it turns out that the genes involved in basic information processes and gene regulation are highly similar to those found in Bacillus subtilis, which has a larger genome. However, the narrow range of habitats occupied by Lc. lactis (mainly milk) is reflected by the presence in Lc. lactis of only three potential sigma factors and eight two-component regulatory systems, in contrast to 18 and 34 such systems, respectively, in B. subtilis. Genome analysis has confirmed the presence of genes involved in oligosaccharide utilization in Lb. acidophilus NCFM.[27] The ability to colonize a wide variety of habitats is typical for Lb. plantarum, and this is apparently reflected in a number of genes involved in sugar transport and utilization in its genome. Lb. plantarum belongs to the so-called facultative heterofermentative (streptobacteria) subgroup of Lactobacillus, in which the Embden-Mayerhof pathway is active for six-carbon sugars and the phosphoketolase pathway for pentoses. Quorum sensing genes have been found in Lb. plantarum WCFS1,[28] but it is unclear if these genes have a real role in this intestinal isolate. At present we cannot make general or final conclusions about the initial data provided by comparative genomics. As noted earlier, Lb. plantarum has a chromosomal size approximately 1 Mb larger than the genome of Lb. paracasei. Both species have been isolated from the same types of environments. LAB form a very large and diverse group of bacteria, which could have adopted different strategies for surviving in the same habitats. The ongoing sequencing projects (Table 1) will provide evidence for or against this hypothesis. Although the genetics of Bifidobacterium is not specifically addressed in this chapter, it is worthwhile to mention results achieved by means of bioinformatic analysis of the 2.26 Mb genome sequence of an infant-derived strain of Bifidobacterium longum.[29] Among the 1730 possible coding sequences identified, several physiological traits could, at least partially, explain the successful adaptation of this bacterium to one peculiar ecological niche, the colon. A large number of the predicted proteins appear to be involved in the catabolism of oligosaccharides. This ability to scavenge a variety of nutrients could explain the observed competitiveness and persistence of bifidobacteria in the colon. However, in this case we have to be prudent and wait for more data before concluding a tight linkage between catabolic potential and gut colonization ability. D.

Proteomics

Proteomics was originally based on two-dimensional electrophoresis of proteins. The technique has been refined in many ways and is now being applied to LAB.[30] While

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Hoang-Dung TRAN and friends genomic analysis provides a static view of an organism, proteomics allows a dynamic observation of cellular events of interest in food production. Lc. lactis MG1363 and S. thermophilus were investigated by means of proteomics, and a reference protein map has been obtained for these bacteria.[31,32] Lc. lactis NCDO 763 has been investigated by two-dimensional gel electrophoresis,[33] and 15 proteins were initially identified. A proteomic approach has been used to investigate the stress response of LAB[31,34] and to analyze differential expression patterns of lactococci under standard conditions and during purine nucleotide starvation.[35] Comparison at the proteome level of two strains of Lc. lactis showed an important protein polymorphism. Comparison of the proteomes of glucose- and lactose-grown cells revealed an unexpected link between the nature of the carbon source and the metabolism of pyrimidine nucleotides.[36]

III.

PLASMID BIOLOGY OF LAB

The observations made by L. L. McKay at the University of Minnesota about the spontaneous and acriflavine-induced loss of lactose fermentation ability of lactococcal strains suggested involvement of plasmids in this phenotype.[37] Subsequent demonstration of extrachromosomal DNA in the lactococci soon led to the identification of several metabolic plasmids and their functions.[38] Because of their technological importance study of the metabolic plasmids dominated the early stages of genetic studies on LAB (see also Sec. III.B). In general, presence of plasmids is characteristic of many species and genera of LAB, and their study has revealed many aspects that have, in addition to their significance for LAB, a wider relevance in general biology. These include mechanisms to control the plasmid copy number and to prevent the presence in the same cell of two plasmid species sharing too identical replication functions (incompatibility). These mechanisms are intimately linked with the plasmid replication functions.

A.

Physical Structure, Replication Mechanisms, Host Range, and Incompatibility

1.

Circular Plasmids

The majority of LAB-associated plasmids belong to the standard type of covalently closed circular, autonomously replicating DNA molecules. These plasmids replicate by two basic mechanisms: the rolling circle type of replication or theta replication. Because plasmid host range, stability, and incompatibility are apparently linked to the replication mechanism, a closer look at them is justified. The Rolling Circle Mechanism. The basic features of this type of replication were reviewed by Gruss and Ehrlich in 1989,[39] and the detailed molecular events by Novick in 1998.[40] Briefly, in this type of replication a nick is first formed by the replication initiation protein (IP) in the so-called plus origin of replication, which is situated in the immediate vicinity of the IP gene. After the nick, a replisome, consisting of a single strand – binding protein, DNA-polymerase III holoenzyme, and a helicase, starts the synthesis of a new strand while displacing the plus strand (Fig. 1). When a cycle has been completed, a double-stranded plasmid and a circular single-stranded intermediate are formed by cutting and religating the replaced minus strand. A new round of DNA

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Figure 1

The rolling circle type of plasmid replication. Solid line represents parental DNA and dashed line the newly synthesized strand.

synthesis starts from the minus origin of this intermediate, leading to the formation of another double-stranded plasmid. The staphylococcal plasmid pT181 has been used as a model to characterize the copy number control and incompatibility functions of rolling circle replicating plasmids. In this plasmid the synthesis of IP is controlled by an attenuation mechanism involving a leader sequence in the IP messenger RNA capable of interacting with antisense RNA coded by a specific replication region site (cop). In the presence of antisense RNA, the leader sequence forms a transcription stop signal structure leading to the cessation of transcription and IP synthesis.[41] The small lactococcal plasmids pVW01 and pSH71, which have been used in cloning vector construction (see Sec. VI. A), are typical examples of plasmids replicating by a rolling circle mechanism. Their plus origins closely resemble that of a small staphylococcal plasmid pE194.[39,42] These plasmids have a broad host range replicating in several other gram-positive hosts and in E. coli.[43] Although these small lactococcal plasmids have a similar mode of replication and share homologies in the replication region with the small staphylococcal plasmids such as pE194 and pC194, the latter usually do not replicate in lactococcal hosts. However, a mutation in a single base pair in the replication region expands the host range of pC194, a chloramphenicol resistance plasmid, into the lactococci.[44] This mutation apparently enhances the promoter controlling the transcription of the IP gene (J.C. Alonso, personal communication). The rolling circle type of replication seems, in general, to be typical for small plasmids of LAB, several of which have been characterized and totally or partially sequenced. Examples include lactococcal plasmids such as pFX2,[45] the O. oeni plasmid

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Hoang-Dung TRAN and friends pLo13,[46] the Lc. lactis plasmid pCI411,[47] the Lb. plantarum plasmid pC30il,[48] Lb. fermentum plasmid pLEM3,[49] and pER371 from S. thermophilus.[50] The stability of plasmid pGT232 from Lb. reuteri has been shown to depend on the presence of the functional minus origin.[51]

Theta-Replicating Plasmids. Theta replication is based on a progressive replication fork with simultaneous synthesis of both new strands. The synthesis can be uni- or bidirectional. No extended single-stranded regions are formed. The theta-replicating plasmids in LAB are generally of medium or large size, spanning from a few thousand to tens of thousands of bp. These plasmids include large metabolic plasmids (see Sec. III. B), such as lactococcal lactose fermentation and proteinase plasmids,[52,53] citrate permease plasmids,[54] and phage resistance plasmids.[55,56] Other examples are cryptic plasmids, such as pVS40,[57,58] pCI305,[59] and pWV02.[60] The last has an exceptionally small size (3.8 kpb) for a theta-replicating plasmid. The host range of these theta-replicating plasmids is rather limited in comparison to rolling circle plasmids. The sequences of the lactococcal plasmids mentioned above share a remarkable degree of homology in their respective replication regions. The replication protein gene (repB) is preceded by an AT-rich origin of replication (repA). One striking feature is the presence of three successive complete and one incomplete 22 bp direct repeats with a general consensus sequence of TATANNNNN(A/T)NAAAAA(A/ T)C(T/G)(G/A)TC immediately before the promoter of the repB gene. Two inverted repeats, one between the 210 region and the start of repB, are also regularly found, as well as two AT-rich short (9–10 bp) repeats further upstream of the 22 bp sequences. The lactococcal family of theta-replicating plasmids seems also to be generally compatible with each other. After screening of 12 theta-replicating plasmids, two incompatible pairs, pFV1001 and pFV1201 and pJW565 and pFW094, were found.[61] The incompatibility region could be tentatively located within the above-mentioned region of 22 bp direct repeats and the first inverted repeat. Enterococcal theta-replicating plasmids of pAMb1 family are other well known examples of theta-replicating plasmids (reviewed in Ref. [62]). They are large (20 –60 kpb) conjugative erythromycin-resistance plasmids with a broad host range. Their origin of replication does not have structures resembling the lactococcal repA region. Their wide host range and ability to mobilize nonconjugative plasmids (see Sec. V.A) has made them useful in genetic studies of LAB. Theta-replicating plasmids have been characterized in other species of LAB. It appears that Lb. plantarum, Enterococcus faecalis, S. bovis, Lb. acidophilus, and Tetragenococcus halophilus represent a group of theta-replicating plasmids sharing a high degree of homology, especially in their repB gene[63 – 65] A small 2.665 bp cryptic plasmid pTXL1 from Leuconostoc mesenteroides has been assumed to replicate via the theta-replication mechanism, because typical genetic elements of the rolling circle type of replication were absent and no single-stranded plasmid DNA could be detected.[66] 2.

Linear Plasmids in Lactobacillus

In addition to circular covalently closed plasmids, the presence of linear plasmid has been suggested in strains of Lb. gasseri. Evidence obtained by means of PFGE analysis[3,19] showed that some bands obtained by running PFGE without any restriction digestion were able to migrate at the same relative position even when different switch times

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Hoang-Dung TRAN and friends were used. This is an indication of the linear nature of the migrating DNA. Linear plasmids have been discovered in several bacteria, but Lb. gasseri seems so far to be the only lactic acid bacterium in which this kind of extra-chromosomal DNA has been detected.

B.

Metabolic Plasmids

1.

Carbohydrate Fermentation and Proteinase Plasmids

Plasmids coding for important technological properties have naturally attracted much attention since their discovery in the lactococci. In these bacteria the lactose fermentation and proteinase activities are almost invariably associated with relatively large (from 17 to .50 kbp) plasmids.[68] The lactococcal lactose fermentation is based on the phosphoenolpyruvate (PEP) –dependent phosphotransferase system. Lactose enters the cell as lactose6-phosphate, which is subsequently split into galactose-6-phosphate and glucose by phospho-b-galactosidase. Glucose is further metabolized by the Embden-MeyerhofParnas pathway, whereas galactose-6-phosphate is first converted into tagatose diphosphate before it can be split into two triose phosphates and enter the normal glycolytic pathway (for review, see Ref. [68]). The lactococcal proteinases are cell wall –associated enzymes that are very closely related to each other. They form an essential part of an intricate machinery producing and transporting peptides necessary for the growth of the cell (reviewed in Ref. [69]). Except for the lactococci, plasmid linkage of proteinase activity has been reported in at least one strain of Lb. helveticus.[70] The presence of carbohydrate-fermentation plasmids is not as common in lactobacilli as in lactococci. However, examples of lactose fermentation plasmids are known also among lactobacilli. Plasmid linked PEP-dependent lactose phosphotransferase system has been associated with Lb. casei strains,[71] and one of the key enzymes of the system, 6-phospho-b-galactosidase, is located on a Lb. casei plasmid pLY101.[72] Two different plasmids, one coding for 6-phospho-b-galactosidase and the other for the genes of the tagatose diphosphate pathway, have been characterized in Lb. acidophilus TK8912.[73] In some lactobacilli the plasmid-encoded lactose utilization is based on another mechanism, the lactose permease pathway. Lactose enters the cell unphosphorylated, and is subsequently split by b-galactosidase, the key enzyme of the system. Plasmids coding for b-galactosidase seem to be typical for Lb. plantarum strains.[74] It also appears that in many Lb. plantarum strains there simultaneously exists both a plasmid-associated and chromosomally coded copy of the gene, possibly reflecting adaptation of these strains to the dairy environment.[75] The plasmid encoded b-galactosidase system is also common in strains of Leuconostoc.[76] In Le. lactis both lactose permease and b-galactosidase genes reside on the same plasmid, but do not form an operon. The b-galactosidase gene is coded by two partially overlapping genes (lacL and LacM), while the permease gene is separated by a 2 kbp DNA fragment containing an IS sequence.[77,78] As an example of a carbohydrate other than lactose, the utilization of raffinose, a trisaccharide, is linked to relatively large plasmids (36.2 –47.3 kbp) in at least three strains of Pediococcus pentosaceus.[79] 2.

Plasmids Associated with Aroma Production

Diacetyl is an important aroma compound (“butter flavor”) in dairy products. In dairy cultures diacetyl is produced from citrate by strains of Lc. lactis subsp. lactis biovar.

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Hoang-Dung TRAN and friends diacetylactis and members of the genus Leuconostoc. The key enzyme in the pathway is citrate permease, which mediates the citrate uptake by the cells. The linkage of citrate permease gene in Lc. lactis to small (approximately 8.7 kbp) plasmids was detected relatively early.[80,81] Subsequently, it was found that at least some leuconostocs have a similar system.[82] Although the genes involved in the citrate metabolism share a high degree of homology between the two species, they are differently regulated, in lactococci by external pH and in leuconostocs by citrate.[83,84]

3.

Mucoidness

Mucoidness, or the ability to produce extracellular polysaccharides, is a property of some lactococcal strains that have traditionally been used to give body and texture to certain types of Scandinavian fermented milks.[85,86] Several lactococcal plasmids ranging in size between 27 and 47 kbp associated with mucoid phenotype have been identified.[87 – 89] Genetic analysis of one of the plasmids, pNZ4000, has indicated the involvement of at least 14 genes in the exopolysaccharide production.[90] The complete sequence of this 42.2 kbp plasmid has been elucidated.[91] Mucoid variants are common among other species of LAB. In at least some strains of Lb. casei, mucoidness has been correlated with the presence of plasmids ranging in size from approximately 7 to 30 kbp.[92,93] C.

Plasmids Associated with Bacteriocin Production and Immunity

Bacteriocins are proteins or peptides secreted by bacteria that inhibit the growth of other bacterial strains or species. LAB produce a wide variety of bacteriocins active against other gram-positive bacteria (other species and strains of LAB, Clostridium, Listeria, etc.). The bacteriocins are classified into three groups:[94] lantibiotics or bacteriocins containing modified amino acids, such as lanthionine and b-methyllanthionine (class I—bacteriocins), small heat-stable nonlantibiotic peptides (class II), and large heat-labile bacteriocins (class III). Nisin is a well-known example of class I bacteriocins. Although early evidence suggested plasmid involvement in nisin production, it is now well established that the trait is coded by a chromosomally located conjugative transposon (see Sec. V). Regardless of class, the bacteriocin gene clusters have certain organizational similarities. Typically the bacteriocin gene contains a leader sequence with a double function. The resulting N-terminal leader sequence inhibits the intracellular activity of the bacteriocin while simultaneously providing the signal to the transport system. The immunity gene is usually intimately linked to the bacteriocin gene and expressed concomitantly with it.[94] 1.

Plasmid-Encoded Lactococcal Bacteriocins

Historically, one the very first plasmid-associated lactococcal bacteriocins was diplococcin, the production of which is coded by an 81 kbp conjugative plasmid.[95] Apparently no further genetic or molecular biological analysis has been done on this system. Lacticins represent plasmid-encoded class I bacteriocins. Lacticin 481, coded by a six-gene operon located on a 70 kbp plasmid in Lc. lactis ADRIA 85LO30,[96] is a typical example. It is particularly active against Clostridium tyrobutyricum.[97] Another plasmidencoded bacteriocin belonging to the class I bacteriocins is the two-component lantibiotic lacticin 3157 encoded by a 60 kb plasmid, which has been completely sequenced.[98]

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Hoang-Dung TRAN and friends Lactococcins belonging to the class II bacteriocins are mainly active against other lactococci. An illustrative example of a plasmid coding for multiple bacteriocins is p9B4-6 from Lc. lactis subsp. cremoris 9B4.[99] In this plasmid one bacteriocin locus consisting of two genes jointly produced the so-called lactococcin M (low antagonistic activity), while the other region coded for two independent highly active lactococcins A and B.[100,101]

2.

Bacteriocin Plasmids from the Lactobacilli

A wide range of both chromosomally encoded and plasmid-linked lactobacillar bacteriocins is known. An example of a lactobacillar lantibiotic is lactocin S, coded by two operons in a 50 kbp plasmid pCIM1 in Lb. sakei L45.[94] Lactacin F is a plasmid-associated two-peptide class II bacteriocin from Lb. johnsonii. The genes have been cloned and expressed in Carnobacterium pisciciola LV17. The latter strain produces three class II bacteriocins: carnobacteriocins A, B2, and BM1. Carnobacteriocins A and B2 are coded by two separate plasmids, pCP49 and pCP40, while the gene for BM1 is chromosomal. The resulting recombinant Carnobacterium strain is capable of producing both lactacin F and carnobacteriocins.[102] Other examples of plasmid involvement in bacteriocin production are acidocin 8912[103] and acidocin B,[104] both produced by 14 kbp plasmids (pLA103 and pCV461, respectively) in Lb. acidophilus, and sakacin A, associated with a 60 kbp plasmid of Lb. sakei Lb706.[105] 3.

Other Plasmid-Associated Bacteriocins from LAB

Pediocins and pediocin-like bacteriocins are often referred to as class IIa bacteriocins. Because of their strong activity against Listeria, they are particularly interesting, for the food industry. They are often plasmid-encoded bacteriocins produced by, among others, P. acidilactici as well as by a number of other LAB.[106,107] Mesentericin Y105 is an example of class IIa bacteriocins produced by Le. mesenteroides Y105 harboring a 35 kbp production plasmid.[108] Enterocin ON-157 is a recently characterized enterococcal bacteriocin active mainly against other enterococci. Loss of bacteriocin activity is connected with novobiocin-induced curing of a 49 kbp plasmid of the E. faecium production strain.[109] D.

Plasmids and Phage Defense Mechanisms

Plasmids associated with increased resistance against bacteriophages are common, especially among the lactococci. Three basic phage resistance mechanisms with different subdivisions are known: inhibition of phage adsorption, restriction/modification (R/M) systems, and abortive infection (Abi) or intracellular inhibition of phage development. Tens of plasmids coding for these mechanisms are known[110,111] (see also Chapter 8). Even a cursory attempt to describe them in this context is not possible here. In the following paragraphs only the best characterized plasmids associated with multiple phage defense mechanisms are presented. 1.

Bacteriophage Defence Mechanisms Associated with the Plasmid pNP40

A 65 kbp conjugative plasmid pNP40 from Lc. lactis ssp. lactis biovar. diactylactis DRC3 confers resistance against the bacteriocin nisin and also protects the strain from the attack of a lytic bacteriophage c2.[112] Subsequently, the plasmid has been shown to contain

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Hoang-Dung TRAN and friends genes for at least two Abi systems (AbiE and AbiF) and for a mechanism blocking phage DNA injection.[113,114] The fact that this plasmid also codes for cadmium resistance, which can be used as a selective marker, further emphasizes its potential usefulness in engineering dairy starter strains for enhanced phage resistance.[115] Among the other genes characterized in this plasmids are a homolog of recA (a gene central in DNA recombination and repair) as well as a gene-sharing homology with umuC (a gene involved in the so-called SOS response to DNA damage).[116] These findings suggest a possible role for genes active in DNA recombination and repair in some of the Abi mechanisms.

2.

Restriction Modification and Abortive Infection Coded by the Plasmid pTR2030

Lc. lactis ssp. lactis ME2 is an exceptionally phage-resistant strain harboring a 46 kbp plasmid pTR2030[117] encoding both an R/M system and an Abi mechanism. The R/M system associated with pT2030, LlaI, has been both subcloned and analyzed at the molecular level,[118,119] as well as transferred to heterologous hosts.[120] E.

Antibiotic Resistance Plasmids

1.

Lactococcal Antibiotic Resistance Plasmids

Antibiotic resistance plasmids are relatively rare among lactococci. However, a 30 kbp completely sequenced theta-replicating plasmid pK214 coding resistance for streptomycin, tetracycline, and chloramphenicol resistance determinants apparently related to corresponding genes in Staphylococcus, Listeria, and Enterococcus has been detected in a lactococcal strain isolated from soft cheese. The plasmid also contains five IS elements, three of which apparently originate from E. faecium.[121] 2.

Antibiotic Resistance Plasmids in Lactobacilli

Early work by Vescovo et al.[122] demonstrated by plasmid curing experiments that in 20 Lb. acidophilus strains originating from pig and calf feces several resistances (penicillin, ampicillin, cloxacillin, aminoglycosides, tetracycline, erythromycin, chloramphenicol, bacitracin) were probably plasmid-associated. Plasmid linkage to erythromycin and chloramphenicol resistance has been detected in Lb. reuteri, Lb. plantarum, and Lb. fermentum strains isolated from poultry, pigs, and pork.[121] An ermT carrying 4.2 kbp plasmid p121BS from an unidentified Lactobacillus sp. of swine origin conferring resistance to tylosin and erythromycin has been completely sequenced.[123] Plasmid pMD5057 (10.9 kbp) from Lb. plantarum of meat origin represents a completely sequenced lactobacillar tetracycline resistance (tetM) plasmid.[63] 3.

Enterococcal Antibiotic Resistance Plasmids

Resistance to a wide range of antibiotics is typical for enterococci isolated from clinical, food, and fecal sources. In many cases the resistances are located in mobile genetic elements (see Sec. IV), but resistance plasmids, many of which are conjugative, are typical to this genus. Plasmids pAMb1[124] and pIP501,[125] the former a 26.5 kbp erythromycin resistance plasmid and the latter a 30 kbp chloramphenicol-erythromycin double resistance plasmid, are classic examples of conjugative enterococcal plasmids with a wide host range. These plasmids can be regularly conjugated to other species and genera of LAB (see Refs. [126,127]). Conjugative plasmids carrying genes for erythromycin resistance

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Hoang-Dung TRAN and friends (ermAM) or tetracycline resistance (tetM) have been detected in enterococci isolated from cheese or meat products.[121,128]

F.

Other Plasmid-Associated Phenotypes

While plasmids coding for important functional properties have, understandably, attracted much attention and antibiotic resistance plasmids are of interest regarding the safety aspects of LAB, there probably are other plasmid-associated phenotypes worth studying, although more difficult to detect. Certain defense or adaptation mechanisms in some LAB strains are plasmid-encoded. UV resistance and adaptation to heat stress are currently known examples. 1.

Ultraviolet Resistance

In Lc. lactis ssp. lactis IL594, the resistance to ultraviolet (UV) irradiation is plasmidencoded. The relevant plasmid, pIL7, has a size of 33 kbp, and by cloning experiments the UV-resistance determinant has been located in a 5.4 kbp fragment.[129] 2.

Heat Shock Proteins

In some strains of S. thermophilus a heat shock protein (Hsp16.4), which may participate in protecting the cell from heat stress, is plasmid encoded.[130,131] In hybridization experiments the gene coding for this heat stress protein gene could also be located on a 7.5 kbp plasmid in one strain of Lc. lactis ssp. cremoris (out of 24 lactococcal strains screened). The size range of S. thermophilus plasmids encoding Hsp16.4 is 2.8 – 11.0 kbp.[131]

IV.

INSERTION SEQUENCES, TRANSPOSONS, AND INTRONS

Different transposable genetic elements are important mechanisms to enhance the genetic mobility and elasticity of bacteria. While the general genetic recombination in LAB as well in other bacteria requires homologous sequences between the participating DNA molecules, the transposable genetic elements require only short (3 – 10 bp) target sequences in the recipient DNA. While the insertions can occur either at a specific site or apparently randomly, depending on the mobile element, the transpositions introduce mutations and genetic rearrangements. Insertion sequences represent the simplest form of transposable genetic elements. They have a size range of 750 – 2000 bp and typically contain only the genes necessary for the transposition flanked by short inverted repeats. Numerous IS elements have been characterized, and their characteristics and occurrence in various bacteria groups, including lactococci, lactobacilli, enterococci, leuconostocs, and pediococci, have been extensively reviewed.[132] In contrast to simple IS elements, typical transposons contain additional genes, such as antibiotic resistance determinants or genes involved in conjugative gene transfer (see Sec. V.A), flanked by IS sequences. Type II introns represent another type of bacterial integrative genetic elements. Introns are sequences interrupting functional genes. They are transcribed to RNA along with the rest of the gene, but subsequently spliced during the processing of mRNA. While introns are common in eukaryotes, their presence in bacteria was a relatively recent finding. So far, among LAB, type II introns have been detected in lactococci.[133]

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Hoang-Dung TRAN and friends

A.

Insertion Sequences

The first IS element in LAB, ISL1, was identified in Lb. casei by Shimizu-Kadota et al.[134] Subsequently insertion elements have been found both in other species of lactobacilli as well as in lactococci. The two completely sequenced LAB genomes, that of Lc. lactis ssp. lactis IL1403[20] and Lb. plantarum WCFS1,[22] are illustrative examples of the frequency and occurrence of IS elements in the genome. 1.

IS Elements in Lactococcous lactis ssp. lactis

In the Lc. lactis ssp. lactis IL 1403 genome, altogether 43 copies of IS elements could be found representing six known types (IS981, IS982, IS983, IS904, IS905, IS1077). The copy numbers of individual IS elements range from one (IS982, IS905) to 15 (IS983). IS981, IS904, and IS1077 belong to a larger IS3 family of insertion elements, while many of the IS elements characterized specially in lactococcal plasmids belong to the ISS1 class of IS6 family.[132] Formation of cointegrates where the donor and target replicons are separated by two directly repeated IS copies is typical of this family. ISS1 elements have been shown to cause spontaneous formation of cointegrates between lactococcal plasmids,[135] and they have been successfully used for insertional mutagenization of lactococcal chromosomal genes.[136] 2.

IS elements in Lb. plantarum

Two classes of transposase-coding regions resembling IS elements, designated as ISP1 (eight complete copies) and ISP2 (four complete copies), have been detected in the genome of Lb. plantarum WCFS1.[22] ISP1 represents a typical IS sequence having a homology with IS1165 of ISL3 family from Le. mesenteroides. The ISP2 apparently does not have the terminal inverted repeats, and its role or type of eventual transposition is therefore unclear. B.

Transposons

1.

Lactococcal Conjugative Transposons Associated with Nisin Synthesis and Sucrose Fermentation

The genes for nisin biosynthesis and immunity as well as for sucrose utilization are known to reside on a 70 kbp conjugative transposon. This block is flanked by direct repeats of TTTTTG, most likely representing a duplication of the target sequence due to transposition. However, no inverted repeats flanking the nisin-sucrose gene block have been identified.[137] The nisin-sucrose transposons vary slightly from strain to strain, which has resulted in different designations (Tn5301, Tn5276, Tn5307, etc.). The conjugative nature of the nisin-sucrose transposons allows for their introduction even to heterologuous hosts, such as dairy enterococci.[138] Recently transposons associated with sucrose fermentation only have been detected in Lc. lactis strains of plant origin.[139] These could be conjugated to sucrose-negative recipients, and the transconjugants contained insertions of variable sizes (50 – 110 kb) in their chromosome. 2.

The ICESt1 Element of Streptococcus thermophilus

In S. thermophilus a novel, conjugative, transposable genetic element has been recently characterized.[140] The 34.7 kb element ICESt1 integrates site-specifically to the gene

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Hoang-Dung TRAN and friends coding for putative fructose-1,6-diphosphate aldolase. The proteins associated with the transfer functions of this element shared homology with corresponding proteins of an enterococcal transposon Tn916 (see Sec. IV.B3). Further comparison of the sequence of ICESt1 with other elements present in various gram-positive bacteria revealed a common modular structure suggesting a family of conjugative transposons with a circular intermediate involved in the integration process. The term “integrative and conjugative elements” has been suggested for these types of transposons.[141]

3.

Enterococcal Transposons

Enterococcal transposon Tn916, which confers resistance to tetracycline, was the first conjugative transposon detected.[142] Although several others have been subsequently characterized (Tn917 and Tn916-related Tn918, Tn920, Tn925), (see also Sec. VI.A), Tn916 is still both the best known and most widely used representative of enterococcal conjugative transposons. This 18 kbp element has subsequently been totally sequenced and analyzed at the molecular level.[143] Characteristic of Tn916 is a very wide host range spanning both gram-positive and gram-negative bacteria. This property has been utilized in genetic studies of LAB for the insertional inactivation of genes in recipient strains. In the absence of tetracycline, Tn916 is accurately excised, restoring the original gene structure and function.[144] From the public health point of view, enterococcal transposons can be problematic. Particularly the transposons associated with vancomycin resistance have received attention, since vancomycin-resistant enterococcal strains can cause persistent nosocomial infections, and there is also the danger of the resistance spreading to other genera, such as pathogenic staphylococci.[145] The best characterized vancomycin resistance transposon Tn1546 is itself nonconjugative, but it can be effectively mobilized by conjugative elements residing in the same host strain.[146,147] C.

Group II Introns

Characteristic of the group II introns is the formation of a closed circular structure (“lariat”) during the splicing event, when the intron RNA is excised from the mRNA. They were first found in the organelle genomes of lower eukaryotes and plants but have subsequently been found in several species of Eubacteria but not in Archeae.[133] Lactococci were the first bacteria in which group II introns were found, and they are regularly associated with conjugative elements or sex factors.[148] Group II introns have a conserved secondary structure consisting of six domains, three of which (I, V, and VI) have a role in splicing. Domain I contains the exon-binding sites (EBS1, EBS2, and d). Domain VI contains a protruding adenosine, which is involved in the transesterification reactions essential to the splicing.[149] Retrohoming is a feature of group II introns. The reverse transcriptase coded by the intron has there a key function. This enzyme, together with some other intron-coded proteins, remains associated with the lariat-like RNA structure after splicing, forming a DNA endonuclease that cuts the target DNA at a site recognized by the exon-binding sites of the intron. The spliced RNA is covalently joined to the DNA, bridging the gap in one strand, while a complementary strand is being synthesized by reverse transcriptase.[133] The lactococcal intron Ll.ltrB is one of the best characterized bacterial group II introns. Because the specificity of retrohoming depends on the sequences of exon-binding sites, the intron can be retargeted by modifying these sequences. A recent example of the

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Hoang-Dung TRAN and friends application of this technique is the targeted insertion of Ll.ltrB into genes coding for malate decarboxylase and tetracycline resistance in the Lc. lactis genome.[150]

V.

GENE TRANSFER SYSTEMS

Gene transfer between strains, species, and even genera of LAB can occur in vivo with the known natural mechanisms, physiological transformation, transduction, and conjugation. Although the significance of these mechanisms varies greatly among the different species, they contribute to the horizontal gene transfer in the natural habitats of LAB and they can be utilized in the genetic modification of LAB strains. However, for the actual recombinant DNA techniques, reliable in vitro gene transfer mechanisms are essential and have been adapted to the most important LAB. A.

Gene Transfer In Vivo

1.

Physiological Transformation

Natural transformation, the first gene transfer mechanism described, was described by F. Griffith in LAB in 1929 in S. pneumoniae.[151] Later DNA was shown to be the transforming principle (152; see also Ref. [151]). Transformation by natural competence has been thoroughly studied in Bacillus subtilis (for a review, see Ref. [153]), indicating that a number of competence genes need to be expressed for natural competence to take place. In dairy microorganisms, Møller-Madsen and Jensen[154] first described a natural transformation system in a few strains of Lc. lactis by transferring between lactococci the ability to produce a malty flavor. This observation of natural competence has not been satisfactorily confirmed. Møller-Madsen later claimed that only a few strains of lactococci were able to transform by natural competence and that, unfortunately, these strains were lost (A. Møller-Madsen, personal communication). However, a few results indicate that the original observations were not artefacts. Knite (155; see also Ref. [156]) reported the transfer of mannitol and streptomycin resistance in lactococci by natural transformation. Sanders and Nicholson[157] later showed that nonprotoplasted lactococci was able to take up plasmids as well as phage DNA if polyethylene glycol (PEG) was present. Finally, and most convincing, is the identification of the complete competence operons in the Lc. lactis IL1403 genome sequence.[158] These observations indicate that lactococcal natural competance has to be reconsidered as a mode of gene transfer in lactococci. 2.

Transduction

Transduction is the transfer of DNA between two strains by means of bacteriophage. Transduction was first demonstrated the early 1960s in Lactococcus by Elliker and coworkers,[159,160] where tryptophan independence and streptomycin resistance, respectively, was transferred by a virulent bacteriophage c2. In the 1970s McKay et al. showed transduction of chromosomal traits like maltose and mannose utilization as well as plasmidlinked traits like lactose utilization and proteinase activities using induced temperate phages for the transduction.[161,162] High-frequency transduction of lactose metabolism was shown by McKay et al.[163] in repeated transduction experiments. However, this was not a general phenomenon of plasmid transfer, since pAMb1 was not transduced with high frequency in secondary transductions.[164] Birkeland and Holo[165] showed that carrying of the cohesive ends from the temperate bacteriophage fLC3 increased the transduction efficiency of plasmids approximately

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Hoang-Dung TRAN and friends 1000-fold. Recently, Chandry et al.[166] showed that the cos-site from the lytic phage sk1 also increases the transduction frequencies of plasmids. In addition to lactococci transduction has been demonstrated in Lb. gasseri ADH[167] and in S. thermophilus.[168] Heller et al.[169] demonstrated transduction in a fermented milk environment by S. thermophilus phages. Since the development in the early 1980s of transformation systems for LAB, there has been only limited interest in transduction. This is probably due to the expected limitations in host range of the temperate and virulent bacteriophages. However, host range (e.g., plaque formation) is not limiting for gene transfer by phage.[169,170]

3.

Conjugation

During conjugation, DNA is transferred from the donor cell to the recipient by direct cellto-cell contact. In gram-negative bacteria this contact can be mediated with structures called sex pili, but they apparently have no role in conjugation between gram-positive bacteria, such as LAB. Instead, sex pheromones, or substances produced by recipient cells promoting the synthesis of a cell aggregation factor by the donor, thus leading to the formation of donor-recipient pairs, are well known, especially among the enterococci.[171] Pheromones, however, are not universal among gram-positive bacteria with conjugative genetic elements. Irrespective of the mechanisms of achieving cell-to-cell contact, the conjugative genetic elements must have certain highly conserved common structures, such as the origin of DNA transfer (oriT) and the various genes involved in the actual transfer event (tra). The importance of conjugation among LAB has been indicated in previous chapters in discussions of conjugative transposons and antibiotic resistance plasmids as well as the association between conjugation and group II introns. Among the metabolic plasmids, the conjugative transfer of lactococcal lactose fermentation plasmids has been well reported (see Ref. [172] for review). In Lc. lactis 712 the sex factor causing a high frequency of recombination has been thoroughly analyzed.[173,174] In addition to genes involved in the actual DNA transfer, the element contains a group II intron and a gene causing a “clumping” phenotype (cluA) associated with the high incidence of conjugation. The sex factor is also associated with an ISS1-type insertion element enabling its change of location from chromosome to plasmids. An important aspect of conjugation is the mobilization of normally nonconjugative plasmids by functional sex factors and conjugative genetic elements. For example, the enterococcal plasmid pAMb1, which, as noted in Sec. III.E, can be conjugated to several species and genera of LAB, is able to efficiently induce the conjugative transfer of proteinase plasmids in lactococcal hosts.[175] B.

In Vitro Gene Transfer Techniques

Despite the usefulness of in vivo methods available for genetic studies, development of efficient transformation techniques has been necessary for actual gene cloning in LAB. The first efficient methods were based on protoplast transformation, but they have been replaced by electroporation during recent years. 1.

Protoplast Transformation

Preparation and regeneration of lactococcal protoplasts was achieved by Gasson,[176] who also demonstrated PEG-induced protoplast fusion and the recombination of both

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Hoang-Dung TRAN and friends chromosomal and plasmid-linked markers in the regenerated fusion products. Actual PEG-induced protoplast transformation of lactococci was reported by Kondo and McKay[177] using lactose fermentation plasmids. Subsequently, the transformation protocols were optimized in different laboratories with respect to protoplast regeneration, PEG concentration and molecular weight, PEG treatment time, protoplast concentration, ionic composition of transformation buffers, and bacterial growth phase before protoplasting.[178 – 180] With optimized methods and using different antibiotic-resistance markers, transformation frequencies of 104 – 106 transformants per microgram of DNA were achieved, allowing for the shotgun cloning of both plasmid-linked[178] and chromosomal lactococcal genes[181] in lactococcal hosts.

2.

Electroporation

In electroporation, a short electric impulse is conducted through the cell suspension, permeabilizing the cell wall to DNA for a few nanoseconds. This is sufficient for efficient DNA transfer and often for rather high transformation frequencies. The first electroporation of Lc. lactis was reported by Harlander[182] and of Lb. casei in the same year by Chassy.[183] The electroporation techniques have since then been introduced and optimized for most of the important LAB species and genera such as lactococci, S. thermophilus, Leuconostoc, and Lb. plantarum.[184 – 188] Recently the method has also been optimized for Lb. delbrueckii subsp. bulgaricus, which was previously very difficult to transform.[189] C.

General Genetic Recombination and Recombination-Deficient Mutants

In general recombination the DNA introduced into the host may be integrated either with the host chromosome or plasmid, provided that the incoming DNA is sufficiently homologous with the host sequences. The mechanisms involved have mainly been studied using the lactococcal integration vectors as models (see sect. VI). Homologous sequences for these plasmids have been derived either from lactococcal chromosome[190] or from a resident prophage.[191] Amplification of integrated plasmids seems to be a regular phenomenon in these experiments when selective pressure (the presence of an antibiotic against which the inserted plasmid confers resistance) is applied. Recombination-deficient lactococcal mutants are known. The first of these was obtained by Anderson and McKay[192] after mutagenization with methyl methanesulfonate (MMS). Transfer of plasmids into this strain occurs normally, but introduction of chromosomal markers is inhibited. The central gene controlling bacterial recombination, recA, is highly conserved among different genera of both gram-negative and gram-positive organisms, and this has allowed the polymerase chain reaction (PCR)– based cloning of the lactococcal recA gene and generation of new recA mutants by insertional inactivation.[193,194] These mutants are sensitive to different DNA-damaging agents as well as to oxygen and heat,[195] indicating a global role for RecA in various cellular processes. VI.

TOOLS FOR THE GENETIC MODIFICATION OF LAB

The efficient gene transfer mechanisms, together with the development of cloning vectors, have made the application of recombinant DNA techniques possible for most important LAB. The vectors available range from simple general cloning vectors to constructs

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Hoang-Dung TRAN and friends designed for special purposes such as integration or efficient expression of cloned genes. Food-grade vectors devoid of antibiotic resistance markers represent a special case in respect to eventual applications. In addition to cloning, present-day genetic techniques allow for targeted mutagenesis as an alternative to traditional random mutagenesis of strains by chemical mutagens or radiation.

A.

Cloning Vectors

1.

General Cloning Vectors

The general cloning vectors typically consist of a plasmid replicon and a marker gene, usually coding for antibiotic resistance, allowing for selection. With LAB the commonly used vectors are based either on cryptic lactococcal or lactobacillar plasmids or derived from large conjugative plasmids such as pAMb1 and pIP501.[196] The two most common lactococcal vectors, pGK13 and pNZ12, are based on nearly identical cryptic plasmids pVW01 and pSH71. As noted in Sec. III.A, these plasmids replicate by the rolling circle mechanisms and have a wide host range, also outside LAB. This property makes them very attractive for research purposes, but is a cause of concern in the genetic containment of eventual genetically modified strains in their applications. Also, the accumulation of single-stranded DNA might lead to genetic instability when foreign DNA is inserted into the constructs.[197] Plasmid pIL253[198] is a deletion derivative of pAMb1 with a high copy number. It has lost the conjugative properties and does not replicate in gram-negative hosts (in contrast to pVW01- and pSH71-based vectors). This plasmid replicates by the theta mechanism, and the genetic constructs in this background are considered more stable than the ones based on plasmids with the rolling circle type of replication. By choosing and combining different replication regions functional in different hosts, it is possible to create families of shuttle vectors able to replicate and express selection markers in widely different hosts such as lactococci, lactobacilli, E. coli, and B. subtilis.[199] 2.

Integration Vectors

Integration vectors for LAB have been used for several purposes—mainly for the generation of mutations, either as a random process to identify genes or by site-specific integration gene disruption or gene replacement, in order to mutagenize a specific gene. A large number of vectors have been developed, but only a few can be mentioned within the scope of this review. In addition, site-specific integration vectors based on phage-integration elements allowing stabilization of genes on a specific site in the chromosome have been developed. Some of the first integration vectors used in LAB (e.g., Enterococcus) were derived from transposons like Tn917 or Tn916, both of Enterococcus origin. Clewell and coworkers identified Tn917 in E. faecalis DS16 in the late 1970s.[200] The integration of Tn917 into the target is induced by the presence of small non-inhibitory amounts of erythromycin.[201] Tn917 has been a workhorse for generating mutations in a large number of gram-positive bacteria, first by Clewell and coworkers for the characterization of hemolysin and conjugation in E. faecalis.[202 – 205] Subsequently, Tn917 became a powerful tool for generating mutations in B. subtilis by first combining Tn917 with a temperature-sensitive derivative of the pE194 repli-

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Hoang-Dung TRAN and friends con,[206] then introducing a pBR322 replication origin allowing for fast identification of flanking regions of the Tn917 insertion site,[207] and finally by introducing a promoterless LacZ gene to the end of Tn917 for the identification of promoters.[208] These genetic tools have been utilized for generation of mutations in Lb. plantarum,[209] for promoter screening in lactococci,[210,211] and recently for the identification of secretion signals in lactococci.[212] Clewell and coworkers also identified Tn916 from E. faecalis,[142] and it has been shown that cloned fragments containing integrated Tn916 can be precisely excised in E. coli.[213] Due to its conjugative nature, it has been used as a genetic tool to generate mutations in both gram-positive and gram-negative bacteria.[214] In industrial LAB, Tn916 and related Tn918 and Tn919 have, however, only found limited use, probably because of reported hot-spot integrations.[215] In certain Lactococcus strains, including MG1363, Tn916 has also been reported not to be able to conjugate due to the limited excision and the lack of a host factor for conjugation.[216] Gene disruption and gene displacement vectors dependent on homologous recombination between cloned fragments (possibly mutagenized) and the chromosome must have conditional replication functions in the strain that should be mutagenized, either by not having functional replication (e.g., vectors with an E. coli replicon) or a defective or thermosensitive replicon. This approach was first applied in LAB using replicons from plasmids pBR322 or pE194 with a selectable marker.[190,191] Later the lactococcal broad host-range plasmid pWV01 was developed to pINT/ pORI vector series by eliminating the replication initiation gene repA but leaving the replication origin intact. Such a vector could be propagated in strains that contain the repA gene in trans.[217] A drawback of these types of suicide vectors is that they require high transformation frequencies to obtain integration in sufficient numbers of sites for the purpose of randomized mutation. However, by introducing the library into a strain containing the plasmid pVE6007[218] coding for a thermosensitive RepA at its permissive temperature (308C), followed by growth at the nonpermissive temperature (and subsequent curing of pVE6007), a sufficient number of transformed cells was obtained.[219] By introducing pVE6007 again, a high excision rate was obtained, allowing for rapid analysis of the chromosomal insertion site.[219] The original pORI vectors were later improved by introducing a lacZ, which allows the detection of excision in the absence of an easy screening phenotype.[220] A food-grade version using the sucrose gene from P. pentosaceus as a screening marker has been developed.[221] Although suicide vectors have been used for random mutagenesis, their main use has been to generate specific gene disruptions or gene-replacement mutations. Thermosensitive vectors have been derived from pWV01 by mutagenizing the plasmid and screening for thermosensitive plasmid derivatives (e.g., pVE6007) (see above).[218] It was demonstrated that at the nonpermissive temperature chromosomal integration could be selected for. This thermosensitive replicon was later developed into the so-called pGþ host vector series containing different selectable markers[222] and has been a useful tool for generation of gene-replacement mutations in a number of mesophilic and some thermophilic LAB. In many thermophilic LAB the pGþ host vectors and the pINT/pORI two-plasmid system cannot be used because the permissive temperature is too low for sufficient growth of the transformants. The broad host-range cloning vector pSA3, containing the replication origins of the pIP501 and pBR322,[223] has in Lb. helveticus been found to be thermosensitive at 458C[224] and used to generate gene-replacement mutants in this host. Russell and

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Hoang-Dung TRAN and friends Klaenhammer[225] observed that the pWV01 wild-type replicon is thermosensitive at elevated temperatures (e.g., 438C) and adapted the pINT/pORI two-plasmid integration system described by Law et al.[219] to Lb. acidophilus and Lb. gasseri. Also, a new thermosensitive integration vector for Lb. gasseri has been developed, based on a replicon from a cryptic Lb. curvatus plasmid pLC2, which proved to be thermosensitive.[226] As mentioned above, suicide thermosensitive vectors, dependent on homologous recombination between randomly cloned small chromosomal fragments and the chromosome, have been used for random mutagenesis.[191,219] However, vectors used for random integration mutagenesis in industrial LAB have in most cases been based on the random integration of IS elements. As in the case of gene disruption and displacement vectors, these vectors should have restricted replication in the host. Romero and Klaenhammer[227] constructed a composite transposon on a suicide vector based on two IS946 elements flanking the cat gene from pC194, which allowed for selection of integrant by chloramphenicol. Polzin and McKay[228] utilized a natural thermosensitive plasmid replicon from pSK11L from Lactococcus to develop an IS981-based integration system and a selectable erythromycin marker. A non-replicating vector containing an the ISS1 element containing an ery gene as selection marker was used to generate a physical and genetic markers in Lactococcus.[229] In Lb. gasseri the IS1223 was rescued on pSA3. Subsequently the gram-positive replication origin was deleted, and the derived vector pTRK327 was used for generating random mutations in Lb. gasseri.[230] However, neither of the above-mentioned vectors have gained wide use. The frequently reported IS vectors used for random mutagenesis are derivatives of the pGþ host vectors carrying the ISS1 element.[136] This is probably due to the wide host range of the temperature-sensitive pWV01-derived replicon. One advantage of the last-mentioned system is that vector integrants can be excised, leaving behind only an extra copy of the IS element. This technology can therefore generate (random) food-grade mutants in a two-step process, which can be applied in foods or in food models. Site-specific integration vectors have also been developed based on the temperate phage integration systems from LAB. These vectors will integrate cloned genes in one copy on a specific location in the chromosome, allowing for stabilization of heterologous or plasmid-encoded genes. Their main use so far has been to study regulation of promoters using reporter genes, where their single copy mimics the chromosomal situation. The first of these integration vectors was based on the adh phage integrase gene and the corresponding attP site cloned onto pSA34, a pSA3 derivative without the gram-positive replication origin.[231] Lillehaug and Birkeland[232] described the site-specific integration in Lactococcus using fLC3 integrase and attP site. This was later developed into an integration vector pINT2 generating stable one-copy integration.[233] From the lactococcal phage TP901-1, site-specific integration was demonstrated.[234] It was later reported that the integration frequency of this resolvase-like integration system was unusually high, allowing for integration into strains with low transformability.[235] Transcriptional fusion integration vectors derived from the TP901-1 integration system were developed with the gusA and lacLM as reporter genes.[236] Later a version with the pipI gene from Lb. helveticus was obtained (P. Varmanen, personal communication). Recently, Stoll et al.[237] showed that the TP901-1 integration system under the right conditions could be applied to E. coli and even to mammalian cells, indicating that the TP901-1 integrase system does not require any specific host factors except the attB site. The integrase system of the Lb. delbrueckii phage mv4 may find special application in LAB because the mv4 site specifically integrates into the end of a tRNAser without

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Hoang-Dung TRAN and friends disrupting the tRNA molecule.[238] It was first shown to be able to integrate site-specifically into the corresponding tRNA in Lb. plantarum,[238] and later into a number of LAB.[239]

3.

Expression Vectors

Overexpression of homologous or heterologous genes can be achieved by a fusion of a strong or regulated promoter to the gene of interest. In addition, it is often necessary to add signal sequences that allow export of the expressed gene product. In case the expressed protein is to be displayed on the surface of the cell (e.g., for vaccine production), a cell wall or membrane anchor may also be necessary. Many promoters have been identified from LAB either by direct screening (e.g., Refs.[211,240 – 244]) or as a result of the analysis of specific genes (e.g., Refs.[245,246]). The first expression vectors utilized strong constitutive promoters, and a number of such vectors have been constructed with different promoters from different LAB. Common for them is that the expressed proteins are normally found in the cytoplasm as biologically inactive in inclusion bodies (e.g., Ref.[247]) as a result of the high expression and accumulation of protein. Also, cloning problems may occur if the gene product is toxic to the cell at the expressed concentration (e.g., Ref.[248]). Both of these problems can be avoided by choosing vectors with natural promoters having different strengths. Although developed for a different purpose, a series of synthetic constitutive promoters that allow the modulation of the expression over a 2000-fold range may be useful for fine-tuning of gene activity.[249] Another way to reduce problems with inclusion bodies or in cloning and expression of toxic gene products is to use a regulated promoter that allows for optimization of expression. Several promoters have been suggested for this purpose, including phagederived thermoinducible promoters based on genetic switches of temperate phages (e.g., Refs.[250,251]), middle phage promoters that can be regulated by phage infection,[252] sugar-regulated promoters,[253 – 257] environmentally regulated promoters such as pH,[246] or NaCl-induced promoters.[258] So far only the nisin-inducible promoter, PnisA, for nisin A production[259] has found widespread use. The PnisA promoter has been cloned on the wide host range replicon from pWV01 in different versions.[260] This system, called NICE, was developed by the NIZO group in the mid-1990s and relies on the autoregulation of nisin production by nisin itself through the nisRK response regulator.[261] Initially the vectors were developed for Lactococcus.[260] The nisRK regulator was integrated on the chromosome of Lc. lactis MG1363 in the pepN gene; alternatively, a derivative of Tn7562 containing the whole nisin operon, including the nisin immunity regions but with the structural nisin gene deleted, was conjugated into MG1363. One of the advantages is that the expression level of the PnisA promoter vectors can be fine-tuned by the amount of nisin added and the strain used.[260] Later, a two-vector system was developed in which the nisRK genes are located on a separate compatible broad-host-range vector, which allowed nisin-controlled expression in a number of gram-positive bacteria.[262,263] In some cases the two-vector system has been reported to cause problems.[264] These were solved by integrating the nisRK on the chromosome using the broad-host-range integration vector pMEC1.[238] Broad host-range single-plasmid nisin-controlled vectors have recently been constructed to simplify the induction system.[265] Interestingly, it has been reported that the PnisA promoter is also induced by galactose and lactose at least in Lc. lactis and that this regulation is independent of nisRK.[266,267]

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Hoang-Dung TRAN and friends Secretion signals are in most cases necessary if the expressed product has to be externalized for easier downstream processing, although Walker and Klaenhammer[268] described secretion of S. thermophilus b-galactosidase in Lc. lactis by a controlled expression of a F31 holin and lysin cassette. However, peptidases were not externalized using this system.[269] A number of secretion signals have been found by screening of LAB for sequences that are able to export products of reporter genes such as a-amylase, b-lactamase, nuclease, or other gene products easy to screen for.[212,270 – 272] Others have been found from genes where the gene product is known to be excreted, e.g., the secretion signal sequences for prtP and usp45 from Lc. lactis,[273,274] the a-amylase genes from S. bovis [275] and Lb. amylovorus,[276] and the S-layer protein gene from Lb. brevis.[277,278] Addition of the nine-residue synthetic propeptide LEIDDTCDA after the signal sequence was shown to improve the secretion efficiency in Lactococcus significantly,[279] while mutation of host genes like htrA influences the stability of the expressed and secreted proteins.[280] Within the last decade the use of LAB as live vaccines has attracted increasing interest (e.g., Refs.[281 – 284]). Although in most cases the antigen has been excreted to the medium, it may be an additional advantage to be able to transfer the antigen to the surface of the cell. The cell-wall anchor of the S. pyogenes M6 protein has been used by several groups for anchoring proteins to the surface of LAB (e.g., Refs.[284 – 286]). Similar cell-wall anchors from Staphylococcus aureus protein A[287] and lactococcal PrtP[281,288] and AmcA[289] have also been used for targeting proteins on the surface.

4.

Food-Grade Cloning Vectors

Although consumer attitudes towards genetic engineering, particularly in Europe, but increasingly also in the United States, are skeptical, a number of so-called foodgrade approaches to genetic engineering of LAB have been suggested. Some of these are based on the construction of food-grade vectors using food-grade markers, while others have relied on a “clean homologous recombination” approach. Food-grade markers can be divided into two groups: that is dominant selection and screening markers (group 1a and 1b) and complementation selection and screening (group 2a and 2b) markers.[290] The 1a and 2a markers are directly selectable, while markers in 1b and 2b must be screened. Group 1a is based on genes that give resistance to, for example, a bacteriocin or a heavy metal ion and can therefore be directly selected for in sensitive strains. Among the first genes to be suggested as putative food-grade markers was a nisin-resistance gene, nsr. The nsr gene was identified by several groups and is unrelated to the nisin immunity gene, nisI. It was first found on plasmid pNP40 from Lc. lactis DRC3,[291] and was subsequently cloned as pFM011 and sequenced.[292,293] A cloning vector pVS40 was constructed from a related nsr gene encoded on plasmid pSF01 from Lc. lactis strain 10.088[294] and a Lactococcus plasmid origin of replication belonging to the theta group.[58] Both plasmids were shown to be useful for cloning in Lactococcus [57,295] The immunity gene of lactacin F, lafI, isolated from Lb. johnsonii VPI 11088 was shown to be expressed in a number of Lactobacillus species and could be selected for at least in Lb. fermentum.[296] The nisin and the lacticin 3147 immunity genes have been suggested as food-grade markers for vector constructions in Lactococcus.[297,298]

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Hoang-Dung TRAN and friends Both these selection markers have been shown to function outside Lactococcus. In the future we will undoubtedly see more food-grade markers based on bacteriocin resistance and immunity genes. Recently it was shown that the nisRKFEG may also be used as a food-grade selectable marker, although its size limits its applicability.[299] Cadmium resistance genes encoded by natural plasmids from lactococci have also been used as a food-grade selectable markers in conjugal transfer and in vector construction.[115,300] Although the selection for cadmium resistance is promising, cadmium at the same time is a heavy metal, and therefore this resistance may not be considered ethical from an environmental point of view and therefore not “food-grade,” even though the genes derive from organisms having a long history for being safe. Group 1b food-grade markers are based on the fermentation of rare or unusual carbohydrates. Due to the variation in carbohydrate fermentation profiles, a number of carbohydrate catabolism genes may be utilized as screening markers in food-grade vectors. Only two examples will be mentioned here. Because the ability to ferment D -xylose is limited to a few species of LAB, the D -xylose catabolism encoding genes of Lb. pentosus have beensuggested as food-grade markers[301] in a screening for transformants of Lactobacillus strains. Similarly, an a-galactosidase gene (ada) from Lc. raffinolactis could be used as a screening marker for the utilization of melibiose in Lc. lactis and P. acidilactici.[302] Data indicated that in addition to ada, a functional galactose permease gene, galA, was also necessary. Group 2a is based on complementation of mutations in a chromosomal gene essential for growth under certain conditions. It is therefore only possible to conduct the complementation in strains where the corresponding mutation has previously been introduced. The ochre suppressor gene subB from Lc. lactis was used to construct a food-grade vector pFG1 where a chromosomal auxothophic purine mutation of Lc. lactis DN209 was complemented.[303] Later this system was improved in pFG200 using the amber suppressor gene subD in combination with amber mutation in pyrF,[304] as growth inhibition was seen in industrial strains when the subB suppressor was used. The advantage of the suppressor system as a food-grade marker, besides its small size (about 350 bp), is that milk contains low amounts of purines and pyrimidines, causing the vector to be stably maintained in milk fermentations. Another promising complementation system relies on the essential alanine racemase gene alr present in Lb. plantarum and Lc. lactis. Mutations in the alr gene make the strain auxotrophic for D -alanine, necessary for cell wall synthesis. Recently it was shown that alr genes from Lc. lactis and Lb. plantarum heterologously complement chromosomal alr mutations in both species.[305] However, the applicability in LAB in general may be questioned as two Alr activities has been observed in Lb. reuteri.[306] Group 2b food-grade markers are based on complementation of some specific mutation in a carbohydrate fermentation operon. Like the 2a markers, they only function in strains where the corresponding mutation has been introduced. No direct selection for such markers is possible, but screening using proper concentration of buffers, indicators, and sugar allows for isolation of transformants. One example of such a marker is the lacF gene, encoding enzyme III in the lactose PEP : PTS uptake system. The lacF gene was shown to complement a lacF deletion on a chromosomally located copy of the lactose operon in Lc. lactis FI7794, a derivative of MG5267.[307] The advantage of this marker is its small size. The lacF marker has been used in the construction of a number of food-grade vectors using the regulated nisin promoter.[308] Also, lacG from Lb. casei, encoding phospho-b-galactosidase in the lactose operon, has been used in a similar approach.[309]

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Hoang-Dung TRAN and friends APPLICATIONS OF GENETICALLY MODIFIED LAB

While recombinant DNA techniques and the general developments in molecular biology have substantially increased our knowledge of the fundamental genetic aspects of LAB, the practical applications have been somewhat slow to materialize. One of the main reasons for this is the complicated nature of food fermentations, where the roles of single genes and their relative activities in the desired properties of the end products are still poorly known. In addition to the improvement of the present starter strains and products based on them, completely novel applications of LAB may be accomplished in the near future. Metabolic engineering and the use of LAB as vaccines or immunotherapeutic agents are examples of new applications attracting much attention. A.

Examples of Metabolic Engineering

To reconstruct metabolic pathways from genome data is a formidable task made possible by the recent advances in molecular genetics. Lactococci were the first LAB in which metabolic engineering studies were developed due to the large body of available data on their genomic structure and relatively well-known physiology (reviewed in Refs.[310 – 312]). The first example was a nearly complete redirection of the metabolic flux by the inactivation of the enzyme lactate dehydrogenase in Lc. lactis by genetic disruption of the relevant gene.[313] The manipulated clone performed a mixed acid fermentation under anaerobic conditions, while in the presence of oxygen it produced almost entirely acetoin. Diacetyl production of up to 50% of available sugar was realized by overexpressing S. mutans NADH oxidase in Lc. lactis (leading to less lactate and enhanced acetoin production) in combination with a genetic disruption of aldB, the gene for a-acetolactate decarboxylase.[314] B.

LAB as Immunotherapeutic Agents: Genetic Aspects

The possibility of introducing heterologous antigens into LAB, to be used as delivery vehicles of foreign epitopes is an exciting and rapidly evolving application of genetic engineering.[315] LAB possess a number of properties that make them attractive candidates for oral vaccination (general safety, traditions of food use, technological advantages, etc.) An especially attractive feature is the ability of some LAB to adhere to the intestinal epithelium and to persist, and even reproduce themselves, in the human gut. In the following paragraphs we discuss the most recently obtained results in this field, concentrating on the genetic aspects (rather than the immunological details) of this potential application. Organisms to be used as oral vaccines are designed for expressing foreign epitopes on their outer surfaces, and special expression and secretion vectors have been constructed. The use of a surface display system based on the PrtP sequence was first used to express tetanus toxin fragment C (TTFC) in cells of Lc. lactis.[281] This organism has been widely experimentally exploited for vaccination purposes.[316,317] However, no consistent picture of its final applicability has emerged.[318] Lactobacilli have also been used to act as vaccine delivery vectors,[319] and TTFC, again, is the most studied antigen.[320] In contrast to Lc. lactis, in which the studies conducted so far have used only the strain MG1363 or its derivatives, a number of lactobacilli have been tested for antigen delivery. Genes under control of xylR or cbh promoter of Lactobacillus were initially used,[321] but inconsistent results were obtained. Subsequently both successful intracellular and the cell surface expression of TTFC has been achieved by means

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Hoang-Dung TRAN and friends of specially developed expression vectors, based on secretion signals of amylase or peptidase enzymes. Immunological results obtained using animal models have shown the relevance of the genetic construction to obtain good immune response in the host. A number of plasmid expression vectors have been designed for Lb. plantarum NCIMB 8826 based on ldh constitutive promoter and transcriptional termination signals. Different localizations of the antigen (intracellular, secreted, or surface-exposed) were obtained,[322] leading to different immunological responses. A model antigen, the cell wall-anchored proteinase PrtB of Lb. delbrueckii subsp. bulgaricus, has also been used to evaluate the possibility of using a strain of Lb. johnsonii to act as vaccine-delivery vehicle. Results showed that this recombinant Lactobacillus can induce both systemic and local mucosal immune responses.[323] Another approach for providing disease protection by recombinant lactobacilli has been the cloning in Lb. zeae of an antibody fragment recognizing a streptococcal antigen typical to cariogenic S. mutans. Administration of these bacteria to a rat model of dental caries resulted in the depression of both S. mutans counts and caries development.[324] In addition to antigens and antibodies, the signal molecules of the immune system have a decisive role in immunological and inflammatory reactions. Lc. lactis designed to express IL-10 on its surface has been successfully used to treat experimentally induced murine colitis.[325] This finding could open new possibilities for the development of nextgeneration probiotic strains designed to specifically treat certain diseases or disorders.

VIII.

SUMMARY

Genomic sequences of the most important LAB species are increasingly becoming available, while the research on proteomics is starting to take advantage of the new possibilities of the accumulating sequence data. At the same time recombinant DNA techniques have become even more sophisticated, and even difficult species are becoming amenable to genetic modification. It is to be hoped that the rapidly accumulating genetic information will enhance our understanding both of the basic physiology of LAB and especially of their role in food fermentations at the metabolic level. This information is essential if the traditional uses of LAB are to be optimized using genetic techniques. The prospect of engineering the metabolic pathways is also becoming more real. The development of genetically modified LAB for completely new applications, such as vaccines or designed probiotics, is a challenging prospect. In addition to technical and scientific problems, the unanswered question of public acceptance of these types of products (as well as the position of regulatory bodies) has to be taken into account. Nevertheless, the future of genetic modification of LAB may well be in their health-related uses.

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5.

6. 7.

8. 9. 10. 11.

12. 13.

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16. 17. 18.

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20.

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Perez-Martinez, G.; Kok, J.; Venema, G.; van Dijl, J.M.; Smith, H.; Bron, S. Protein export elements from Lactococcus lactis. Mol. Gen. Genet. 1992, 234, 401 – 411. Poquet, I.; Ehrlich, S.D.; Gruss, A. An export-specific reporter designed for gram-positive bacteria: application to Lactococcus lactis. J. Bacteriol. 1998, 180, 1904 –1912. de Vos, W.M.; Vos, P.; de Haard, H.; Boerrigter, I. Cloning and expression of the Lactococcus lactis subsp. cremoris SK11 gene encoding an extracellular serine proteinase. Gene 1989, 85, 169–176. van Asseldonk, M.; de Vos, W.M.; Simons, G. Functional analysis of the Lactococcus lactis usp45 secretion signal in the secretion of a homologous proteinase and a heterologous a-amylase. Mol. Gen. Genet. 1993, 240, 428 – 434. Satoh, E.; Ito, Y.; Sasaki, Y.; Sasaki, T. Application of the extracellular a-amylase gene from Streptococcus bovis 148 to construction of a secretion vector for yogurt starter strains. Appl. Environ. Microbiol. 1997, 63, 4593– 4596. Kerovuo, J.; Tynkkynen, S. Expression of Bacillus subtilis phytase in Lactobacillus plantarum 755. Lett. Appl. Microbiol. 2000, 30, 325 –329. Savijoki, K.; Kahala, M.; Palva, A. High level heterologous protein production in Lactococcus and Lactobacillus using a new secretion system based on the Lactobacillus brevis S-layer signals. Gene 1997, 186, 255 – 262. Gaeng, S.; Scherer, S.; Neve, H.; Loessner, M.J. Gene cloning and expression and secretion of Listeria monocytogenes bacteriophage-lytic enzymes in Lactococcus lactis. Appl. Environ. Microbiol. 2000, 66, 2951– 2958. Le Loir, Y.; Gruss, A.; Ehrlich, S.D.; Langella, P. A nine-residue synthetic propeptide enhances secretion efficiency of heterologous proteins in Lactococcus lactis. J. Bacteriol. 1998, 180, 1895–1903. Miyoshi, A.; Poquet, I.; Azevedo, V.; Commissaire, J.; Bermudez-Humaran, L.; Domakova, E.; Le Loir, Y.; Oliveira, S.C.; Gruss, A.; Langella, P. Controlled production of stable heterologous proteins in Lactococcus lactis. Appl. Environ. Microbiol. 2002, 68, 3141– 3146. Wells, J.M.; Wilson, P.W.; Norton, P.M.; Gasson, M.J.; Le Page, RW. Lactococcus lactis: high-level expression of tetanus toxin fragment C and protection against lethal challenge. Mol. Microbiol. 1993, 8, 1155– 1162. Pouwels, P.H.; Leer, R.J.; Boersma, W.J. The potential of Lactobacillus as a carrier for oral immunization: development and preliminary characterization of vector systems for targeted delivery of antigens. J. Biotechnol. 1996, 44, 183 – 192. Slos, P.; Dutot, P.; Reymund, J.; Kleinpeter, P.; Prozzi, D.; Kieny, M.P.; Delcour, J.; Mercenier, A.; Hols, P. Production of cholera toxin B subunit in Lactobacillus. FEMS Microbiol. Lett. 1998, 169, 29–36. Ribeiro, L.A.; Azevedo, V.; Le Loir, Y.; Oliveira, S.C.; Dieye, Y.; Piard, J.C.; Gruss, A.; Langella, P. Production and targeting of the Brucella abortus antigen L7/L12 in Lactococcus lactis: a first step towards food-grade live vaccines against brucellosis. Appl. Environ. Microbiol. 2002, 68, 910 – 916. Piard, J.C.; Hautefort, I.; Fischetti, V.A.; Ehrlich, S.D.; Fons, M.; Gruss, A. Cell wall anchoring of the Streptococcus pyogenes M6 protein in various lactic acid bacteria. J. Bacteriol. 1997, 179, 3068–3072. Dieye, Y.; Usai, S.; Clier, F.; Gruss, A.; Piard, J.C. Design of a protein-targeting system for lactic acid bacteria. J. Bacteriol. 2001, 183, 4157 –4166. Steidler, L.; Viaene, J.; Fiers, W.; Remaut, E. Functional display of a heterologous protein on the surface of Lactococcus lactis by means of the cell wall anchor of Staphylococcus aureus protein A. Appl. Environ. Microbiol. 1998, 64, 342 – 345. Kushiro, A.; Takahashi, T.; Asahara, T.; Tsuji, H.; Nomoto, K.; Morotomi, M. Lactobacillus casei acquires the binding activity to fibronectin by the expression of the fibronectin binding domain of Streptococcus pyogenes on the cell surface. J. Mol. Microbiol. Biotechnol. 2001, 3, 563–571.

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˚ vall-Ja¨a¨skela¨inen, S.; Lindholm, A.; Palva, A. Surface display of the receptor-binding A region of the Lactobacillus brevis S-layer protein in Lactococcus lactis provides nonadhesive lactococci with the ability to adhere to intestinal epithelial cells. Appl. Environ. Microbiol. 2003, 69, 2230– 2236. de Vos, W.M. Safe and sustainable systems for food-grade fermentations by genetically modified lactic acid bacteria. Int. Dairy J. 1999, 9, 3– 10. McKay, L.L.; Baldwin, K.A. Conjugative 40-megadalton plasmid in Streptococcus lactis subsp. diacetylactis DRC3 is associated with resistance to nisin and bacteriophage. Appl. Environ. Microbiol. 1984, 47, 68– 74. Froseth, B.R.; Herman, R.E.; McKay, L.L. Cloning of nisin resistance determinant and replication origin on 7.6-kilobase EcoRI fragment of pNP40 from Streptococcus lactis subsp. diacetylactis DRC3. Appl. Environ. Microbiol. 1988, 54, 2136– 2139. Froseth, B.R.; McKay, L.L. Molecular characterization of the nisin resistance region of Lactococcus lactis subsp. lactis biovar diacetylactis DRC3. Appl. Environ. Microbiol. 1991, 57, 804–811. Wessels, S. Food-Grade Genetic Modification of Dairy Bacteria: Evaluation of pVS40 as a food-grade vector for molecular cloning in Lactococcus lactis, with special reference to the vector’s marker gene for nisin resistance. The Royal Veterinary and Agricultural University, 1993; Diss. Froseth, B.R.; McKay, L.L. Development and application of pFM011 as a possible foodgrade cloning vector. J. Dairy Sci. 1991, 74, 1445– 1453. Allison, G.E.; Klaenhammer, T.R. Functional analysis of the gene encoding immunity to lactacin F, lafI, and its use as a Lactobacillus-specific, food-grade genetic marker. Appl. Environ. Microbiol. 1996, 62, 4450– 4460. McAuliffe, O.; Hill, C.; Ross, R.P. Identification and overexpression of ltnl, a novel gene which confers immunity to the two-component lantibiotic lacticin 3147. Microbiology 2000, 146, 129– 138. Takala, T.M.; Saris, P.J. A food-grade cloning vector for lactic acid bacteria based on the nisin immunity gene nisI. Appl. Microbiol. Biotechnol. 2002, 59, 467 – 471. Duan, K.; Harvey, M.L.; Liu, C.Q.; Dunn, N.W. Identification and characterization of a mobilizing plasmid, pND300, in Lactococcus lactis M189 and its encoded nisin resistance determinant. J. Appl. Bacteriol. 1996, 81, 493 – 500. Liu, C.Q.; Leelawatcharamas, V.; Harvey, M.L.; Dunn, N.W. Cloning vectors for lactococci based on a plasmid encoding resistance to cadmium. Curr. Microbiol. 1996, 33, 35 – 39. Posno, M.; Heuvelmans, P.T.H.M.; van Giezen, M.J.F.; Lokman, B.C.; Leer, R.J.; Pouwels, P.H. Complementation of the inability of Lactobacillus strains to utilize D-xylose with D-xylose catabolism-encoding genes of Lactobacillus pentosus. Appl. Environ. Microbiol. 1991, 57, 2764– 2766. Boucher, I.; Parrot, M.; Gaudreau, H.; Champagne, C.P.; Vadeboncoeur, C.; Moineaux, S. Novel food-grade plasmid vector based on melibiose fermentation for the genetic engineering of Lactococcus lactis. Appl. Environ. Microbiol. 2002, 68, 6152– 6161. Dickely, F.; Nilsson, D.; Hansen, E.B.; Johansen, E. Isolation of Lactococcus lactis nonsense suppressors and construction of a food-grade cloning vector. Mol. Microbiol. 1995, 15, 839 – 847. Sørensen, K.I.; Larsen, R.; Kibenich, A.; Junge, M.P.; Johansen, E. A food-grade cloning system for industrial strains of Lactococcus lactis. Appl. Environ. Microbiol. 2000, 66, 1253– 1258. Bron, P.A.; Benchimol, M.G.; Lambert, J.; Palumbo, E.; Deghorain, M.; Delcour, J.; De Vos, W.M.; Kleerebezem, M.; Hols, P. Use of the alr gene as a food-grade selection marker in lactic acid bacteria. Appl. Environ. Microbiol. 2002, 68, 5663–5670. Thompson, A.; Griffin, H.; Gasson, M.J. Characterization of an alanine racemase gene from Lactobacillus reuteri. Curr. Microbiol. 2002, 44, 246 – 250.

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MacCormick, C.A.; Griffin, H.; Gasson, M.J. Construction of a food-grade host/vector system for Lactococcus lactis based on the lactose operon. FEMS Microbiol. Lett. 1995, 127, 105–109. Platteeuw, C.; van Alen-Boerrigter, I.; van Schalkwijk, S.; de Vos, W.M. Food-grade cloning and expression system for Lactococcus lactis. Appl. Environ. Microbiol. 1996, 62, 1008– 1013. Takala, M.; Saris, P.J.; Tynkkynen, S. Food-grade host/vector expression system for Lactobacillus casei based on complementation of plasmid-associated phospho-b-galactosidase gene lacG. Appl. Microbiol. Biotechnol. 2003, 60, 564 – 570. Kleerebezem, M.; Hugenholtz, J. Metabolic pathway engineering in lactic acid bacteria. Curr. Opin. Biotechnol. 2003, 14, 232 – 237. Kuipers, O.P.; Buist, G.; Kok, J. Current strategies for improving food bacteria. Res. Microbiol. 2000, 151, 815– 822. Kleerebezem, M.; Hols, P.; Hugenholtz, J. Lactic acid bacteria as a cell factory: rerouting of carbon metabolism in Lactococcus lactis by metabolic engineering. Enzyme Microb. Technol. 2000, 26, 840– 848. Hols; Kleerebezem, M.; Schanck, A.N.; Ferain, T.; Hugenholtz, J.; Delcour, J.; de Vos, W.M. Conversion of Lactococcus lactis from homolactic to homoalanine fermentation through metabolic engineering. Nat. Biotechnol. 1999, 17, 588 –592. Swindell, S.R.; Benson, K.H.; Griffin, H.G.; Renault, P.; Ehrlich, S.D.; Gasson, M.J. Genetic manipulation of the pathway for diacetyl metabolism in Lactococcus lactis. Appl. Environ. Microbiol. 1996, 62, 2641– 2643. Wells, J.M.; Robinson, K.; Chamberlain, L.M.; Schofield, K.M.; Le Page, R.W.F. Lactic acid bacteria as vaccine delivery vehicles. Antonie van Leeuwenhoek 1996, 70, 317– 330. Norton, P.M.; Brown, H.W.G.; Wells, J.M.; Macpherson, A.M.; Wilson, P.W.; Le Page, R.W.F. Factors affecting the immunogenicity of tetanus toxin fragment C expressed in Lactococcus lactis. FEMS Immunol. Med. Microbiol. 1996, 14, 167 – 177. Norton, P.M.; Wells, J.M.; Brown, H.W.G; Macpherson, A.M.; Le Page, R.W.F. Protection against tetanus toxin in mice nasally immunized with recombinant Lactococcus lactis expressing tetanus toxin fragment C. Vaccine 1997, 15, 616 – 619. Mielcarek, N.; Alonso, S.; Locht, C. Nasal vaccination using live bacterial vectors. Adv. Drug Del. Rev. 2001, 51, 55–69. Rush, C.M.; Mercenier, A.; Pozzi, G. Expression of vaccine antigens in Lactobacillus. In: Gram-Positive Bacteria as Vaccine Vehicles for Mucosal Immunization; Pozzi, G., Wells, J.M., Eds.; R.G. Landes Biomedical: New York, 107 –144. Shaw, D.M.; Gaerthe, B.; Leer, R.J.; Van Der Stap, J.G.; Smittenaar, C.; den BakGlashouwer, H.M.; Thole, J.E.; Tielen, F.J.; Pouwels, P.H.; Havenith, C.E. Engineering the microflora to vaccinate the mucosa: serum immunoglobulin G responses and activated draining cervical lymph nodes following mucosal application of tetanus toxin fragment C-expressing lactobacilli. Immunology 2000, 100, 510 – 518. Pouwels, P.H.; Leer, R.J.; Shaw, M.; den Bak-Glashouwer, M.J.H.; Tielen, F.D.; Smit, E.; Martinez, B.; Jore, J.; Conway, P.L. Lactic acid bacteria as antigen delivery vehicles for oral immunization purposes. Int. J. Food Microbiol. 1998, 41, 155 – 167. Revenau, N.; Geoffroy, M.C.; Locht, C.; Chagnaud, P.; Mercenier, A. Comparison of the immune responses induced by local immunizations with recombinant Lactobacillus plantarum producing tetanus toxin fragment C in different cellular locations. Vaccine 2002, 20, 1769– 1777. Scheppler, L.; Vogel, M.; Zuercher, A.W.; Zuercher, M.; Germond, J.E.; Miescher, S.M.; Stadler, B.M. Recombinant Lactobacillus johnsonii as a mucosal vaccine delivery vehicle. Vaccine 2002, 20, 2913– 2920. Kru¨ger, C.; Hu, Y.; Pan, Q.; Marcotte, H.; Hultberg, A.; Delwar, D.; van Dalen, P.J.; Pouwels, P.H.; Leer, R.J.; Kelly, C.G.; van Dollenweerd, C.; Ma, J.K.; Hammarstro¨m, L. In situ deliv-

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Hoang-Dung TRAN and friends

8 Bacteriophage and Antiphage Mechanisms of Lactic Acid Bacteria JYTTE JOSEPHSEN The Royal Veterinary and Agricultural University, Frederiksberg, Denmark HORST NEVE Federal Research Centre for Nutrition and Food, Kiel, Germany

I.

INTRODUCTION

Food fermentations rely on actively growing lactic acid bacteria (LAB) which either are added as starter cultures or grow spontaneously in the food matrix. The fermentation capabilities of lactic acid bacteria can be severely inhibited by a panoply of nonviral inhibitors, such as bacteriocins, nisin, residues from antibiotic or disinfectant treatments, or the lactoperoxidase-thiocyanate-hydrogen peroxide system present in raw milk. However, the major commercial problem results from bacteriophage infections. These bacterial viruses were identified as filter-transmissible agents by the work of Twort in 1915 and d’He´relle in 1917.[1] Their submicroscopic sperm-like morphology remained undetected until the first electron microscopes became available during the 1940s. Phages attacking Lactococcus lactis have been known since the 1930s, when Whitehead and Cox in New Zealand observed that phages were responsible for the failure in the acid-producing activity of a cheese starter culture.[2] In the area of food fermentation, the permanent threat of phage infection is particularly manifested in the dairy field. Here, phage attacks on lactic acid bacteria during the fermentation process result in an unacceptably low production of lactic acid and flavor compounds along with reduced proteolysis. Thus, starter activity is either severely affected (“slow vats”) or, in extreme cases, a complete failure of starter growth may occur (“dead vats”). Due to the constant risk of economic loss, phage control is a major area of concern in handling lactic acid bacteria as starter cultures. Phages have also 295 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends been isolated from other fermentations, e.g., in the production of sauerkraut, coffee, and wine, but most often these attacks are not as destructive as in milk fermentation. These worldwide efforts focus on the understanding of the complex and dynamic mechanisms of phage-host relationships, including (a) the characterization of the phage population involved, including genomics analysis, (b) the analysis of “natural” and “intelligent” bacterial systems of phage defense, and (c) the identification of phage counterdefense mechanisms.

II.

BACTERIOPHAGES

A.

Phage Morphology

All phages known from lactic acid bacteria belong to the order Caudovirales, meaning that they are tailed phages. Tails and heads are the main structural components of phages, and their sizes and structures are the basis for establishing various morphotypes. LAB phages are members of the three morphotypes A (contractile tails), B (long, noncontractile tails), and C (short noncontractile tails) according to the classification scheme of Bradley.[3] Today they are represented as the phage families Myoviridae, Siphoviridae, and Podoviridae, respectively.[4,5] These three families are further differentiated in phages displaying isometric, small prolate, or large prolate (elongated) heads (morphotypes 1 –3, respectively). Thus, the isometric-headed Streptococcus thermophilus phage shown in Fig. 1 is a member of the Siphoviridae of morphotype B1. The electron micrographs of lactococcal phages (Fig. 2) illustrate further examples of phages from the Siphoviridae and the Podoviridae families. Most characterized LAB phages belong to Siphoviridae

Figure 1

Electron micrographs of a virulent bacteriophage of Streptococcus thermophilus with (A) and without (B) a single tail fiber.

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Figure 2

Transmission electron micrographs of the various morphotypes of lactococcal phages from one collection (modified from Ref.[13]). The phage taxonomy from Jarvis et al.[6] is indicated. The arrow highlights the close genetic relationship of virulent and temperate phages of the P335 species.

B1 morphotype and only phages homologous for Lactococcus and Lactobacillus plantarum morphotype C3 Podoviridae have been isolated. Morphotype A1 Myoviridae have been observed for Lactobacillus helveticus, Lactobacillus plantarum, and Lactobacillus fermentum. Further differentiation of LAB phages into phage species was originally based on morphology, serology, DNA size and structure, DNA homology, and, within the last decade, on complete phage genome sequences. B.

Phage Classification

1.

Lactococcus lactis Phages

Lactococcal phages have been differentiated into 10 (originally 12) phage species, each represented by a type phage.[6] Phage isolates belonging to all except one species (i.e., species P335) are strictly virulent. The majority of phages belong to the Siphoviridae family; only two belong to the Podoviridae. Isometric-headed phages of B1 morphotype are divided into seven phage species differing in tail length and structure. Members of species 936 are the most numerous, followed by the P335 species. Species P107, P087, 1358, BK5-T, and 949 are either unique or include only a few phages. Recently it was suggested to merge the phage species BK5-T and P335.[7,8] The prolate-headed phages have three morphotypes, B2 (prolate head, long noncontractile tail), C2 (prolate head, very short tail), and C3 (elongated prolate head, very short tail), which are grouped into the species c2, P034, and KSY1, respectively. Isometric-headed phages belonging to

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Hoang-Dung TRAN and friends the 936 species are the predominant lytic phages isolated from dairy plants in Australia, New Zealand, the United States, and Europe; however, in Canada prolate-headed phages belonging to species c2 were temporarily found to be the predominating species.[9] Within the last decade lytic P335 phages have appeared in dairy plants.[10 – 12] An example illustrating the various morphotypes found in one phage collection is shown in Fig. 2.[13]

2.

Lactobacillus Phages

Mainly virulent phages homologous for species of Lactobacillus involved in milk fermentations have been isolated. These include phages for Lb. delbrueckii subsp. lactis and bulgaricus, Lb. helveticus, Lb. acidophilus, Lb. gasseri, Lb. casei, and Lb. rhamnosus. They all have phages that belong to morphotype B1 Siphoviridae.[14,15] Virulent and temperate B1 Siphoviridae Lb. casei and Lb. rhamnosus phages are genetically related.[14,15] The temperate phages fFSW and A2 are the best studied Lb. casei phages today.[16,17] Within phages for Lb. delbrueckii subsp. bulgaricus and subsp. lactis phages both B1 and B3 Siphoviridae morphotypes have been observed. These phages are classified into the four DNA homology groups a, b, c, and d, of which a is the most numerous.[18,19] Interestingly, most phages for Lb. helveticus belong to the A1 Myoviridae family with either a short (160 nm) or a long (260 nm) contractile tail.[20] The temperate Lb. acidophilus phage fy8 exhibits the unusual B3 Siphoviridae morphology with an elongated head, which apparently is widespread in U.S. yogurt production.[21] In general, the DNA homology between the lytic and temperate phages is much higher for phages of Lactobacillus than for lactococcal phages.[22,23] It seems that the morphotype of the nondairy phages varies more than that of dairy phages. Thus, the lytic and temperate phages of Lb. plantarum belong to all three morphotypes (B1 Siphoviridae,[24,25] A1 Myoviridae,[26] and C1 Podoviridae[27]). Unusually large genome sizes have been reported for phage representatives of the first two morphotypes.[24] Similarly, Lb. fermentum phages belong to the A1 Myoviridae[28] and to B1 and B3 Siphoviridae.[29] Lb. sake phages (B1 Siphoviridae) have been isolated from fermented sausage.[30] 3.

Streptococcus Thermophilus Phages

All virulent and temperate Streptococcus thermophilus phages have the same basic morphology (B1 Siphoviridae, as shown in Fig. 1)[31 – 33] and share significant DNA homology. Lysogeny is a rare event in S. thermophilus,[34 – 38] and only 1– 10% of the S. thermophilus strains screened in different collections were reported to be lysogenic. S. thermophilus phages are distinguished into two groups on basis of the mode of DNA packaging and the pattern of the structural proteins.[39] Representatives of both groups have been proposed as reference phages for phage taxonomy (phages Sfi21 and Sfi11, respectively).[40] 4.

Leuconostoc and Oenococcus Phages

Lytic Leuconostoc (Ln. mesenteroides, Ln. fallax) phages have been isolated from different industrial fermentations, including coffee, sauerkraut, and dairy foods. Phages isolated from sauerkraut were assigned to the B1 Siphoviridae and A1 Myoviridae families and were genetically distinct, as shown by randomly amplified polymorphic DNA fingerprinting.[41] Phage of Lc. mesenteroides derived either from coffee or from dairy fermentations were differentiated into six groups with no significant DNA homology.[42] Leuconostoc

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Hoang-Dung TRAN and friends phages isolated from dairy fermentations[43] were found to be genetically related and showed a typical B1 Siphoviridae morphology as did phages isolated earlier.[44 – 46] Lysogeny has not been studied for these bacteria but is common for Oenococcus oenos used for malolactic fermentations in wine.[47,48] Approximately one half of Oenococcus strains harbor Siphoviridae prophages.[49] Oenococcus temperate phages share DNA homology and have been classified into a- and b-subgroups.[50]

5.

Pediococcus Phages

Phages virulent for Pediococcus acidilactici are unknown today, but have been described for halophilic pediococci used for soy sauce fermentation.[51] Temperate P. acidilactici phages isolated recently were shown to belong to two unrelated DNA homology groups and were B1 Siphoviridae members.[52] C.

Phage Genomics

Phages infecting lactic acid bacteria contain double-stranded DNA in a linear form in the phage head. In principle, the G þ C content of the phage genome is similar to the G þ C composition of the bacterial hosts’ chromosomes, reflecting the intimate phage/host relationship; it is 36% for phages of Lc. lactis [6] and 45% for phages of Lb. casei.[17] The amount of phage DNA to be packed in the interior of the phage head is limited by the head size. Genome sizes usually vary from 18 to 55 kb,[6] although sizes up to 134 kb have also been measured for a few lactococcal phages.[53] According to their mode of packaging (see below), phage genomes have either cohesive (single-stranded) ends (cos-type phages) or terminally redundant termini (pac-type phages). The first complete phage genome sequence analyses were performed for lactococcal phages bIL67[54] and c2,[55] respectively. Today, genome sequences of several phages, both lytic and temperate phages from Lactococcus, Lactobacillus, and Streptococcus thermophilus, have been published (Table 1). Analyses of these data give important information on genome organization, phage homology, and phage evolution. The phageencoded genes are arranged in a compact form, and overlapping of genes is common. Phage genes with related functions are clustered in temporarily expressed functional segments (modules).[56,57] 1.

Lactococcus lactis

Representatives for each of the three main species of lactococcal phages have been sequenced (Table 1; Fig. 3). The genome sizes of the c2-like phages are shorter than those of the 936-like phages and of the P335 phages. On the relatively small genome of the cos-type phage bIL67, 37 open reading frames (ORFs) were organized in two divergent clusters, representing the early (genes for DNA replication and recombination) and late (genes for structural proteins, terminase, lysis genes) regions.[54] The sequence of the prototype prolate-headed phage c2 shared approximately 80% nucleotide sequence identity with the bIL67 sequence.[55] The organization of the two genomes was conserved; differences were found for three minor structural genes and the putative tail fiber/adsorption protein. Complete genome sequences are available for two virulent phages of the lactococcal 936 species. Fifty-four and 64 ORFs are present on the genomes of the cos-type phages sk1[58] and bIL170,[59] respectively. Their genomic organization is characterized by a large late gene cluster covering nearly half of the genomes, which encompass genes

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Table 1

Phages and Prophages of Lactic Acid Bacteria with Completed Genome Sequence Analysis Genome size (kb)

Genome type

Host/phage

Life cycle

Speciesa

L. lactis bIL67 c2 sk1 bIL170 P482 BK5-T r1t Tuc2009 TP901-1 ul36 bIL285 bIL286 bIL309 bIL310 bIL311 bIL312 4268

Virulent Virulent Virulent Virulent Virulent Temperate Temperate Temperate Temperate Virulent Inducible prophage Inducible prophage Inducible prophage Inducible prophage Noninducible prophage Inducible prophage Virulent

c2-like c2-like 936-like 936-like 936-like BK5-T-like P335-like P335-like P335-like P335-like P335-like P335-like P335-like n.r. n.r. n.r. P335-like

22.195 22.172 28.451 31.754 30.945 40.003 33.350 38.347 37.667 36.798 35.538 41.834 36.949 14.957 14.510 15.179 36.596

cos site cos site cos site cos site cos site cos site cos site pac site pac site n.r n.r. n.r. n.r. n.r. n.r. n.r. n.r.

54 55 58 59 See footnote(1) 60 61 62 63 8 7 7 7 7 7 7 See footnote(2)

S. thermophilus Sfi21 O1205 Sfi19 DT1 7201 Sfi11 TP-J34

Temperate Temperate Virulent Virulent Virulent Virulent Temperate

Sfi21-like Sfi11-like Sfi21-like Sfi21-like Sfi21-like Sfi11-like Sfi11-like

40.739 43.075 37.370 34.820 35.466 39.807 45.605

cos site pac site cos site cos site cos site pac site pac site

64 65 66 67 68 69 See footnote(3)

Lb. delbrueckii LL-H Virulent

phage group a

34.659

pac site

23

Lb. plantarum fg1e Temperate

n.r.

42.259

pac site

70

Lb. gasseri fadh

Temperate

n.r.

43.785

cos site

71

Lb. casei A2

Temperate

n.r.

43.411

cos site

17

Lb. johnsonii Lj965 Lj928 Lj771

Noninducible prophage Noninducible prophage Noninducible prophage

n.r. n.r. n.r.

39 39 42

n.r. n.r. n.r.

n.r.: not reported a According to Refs.[6,22,57] (1) C. Glo¨ckner and D. Blohm, unpublished; unpublished.

(2)

A. Coffey and P. Ross, unpublished;

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(3)

Ref.

57,72 57,72 57,72

H. Neve and K.J. Heller,

Hoang-Dung TRAN and friends Bacteriophage and Antiphage Mechanisms of LAB

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Figure 3

301

Genome organization of lactococcal phages c2, sk1, BK5-T, r1-t, and Tuc2009. The thin arrows represent transcription maps (E, early; M, middle; L, late transcripts). The same grey shading is used for corresponding genes. (Reprinted from Refs.[56,57] with kind permission of Dr. Harald Bru¨ssow, of Annual Reviews [www.annualreviews.org], and of Kluwer Academic Publishers)

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Hoang-Dung TRAN and friends coding for the small and large terminase subunits, the structural proteins, and the lysis genes (length:16 kb). Early and middle genes are directed towards the late genes. The similarity of the sk1 with the bIL170 genome was greater than 80% on the nucleotide level. Although c2 and 936 phages are distinct phage species with no DNA homology, a significant number of sk1 and bIL170 proteins (i.e., 9 and 10, respectively) share similarity with proteins from the prolate-headed phages. An impressive number of genome sequences is now available for phages of the P335 species. This species is heterogeneous, and its phages share a limited DNA homology. Comparison of the different phage genomes revealed that these phage genomes are genetic mosaics and that the P335 species should be regarded as a “quasi-species.” The phages are either virulent or temperate (see Table 1) and display two different DNA-packaging mechanisms. Their genomes are organized in a life-cycle –specific manner in two oppositely orientated clusters. One of them represents the lysogeny module; the second includes modules for DNA replication, transcription regulation, structural proteins, and host lysis. All P335 phages reveal DNA homology over the lysogeny genes, DNA replication, and putative transcription regulation genes.[68] However, comparison of the DNA sequence homology of their structural genes resulted in the differentiation of distinct phage groups. The structural genes of the cos-site phage r1t[61] are unique and share no homology with those of other P335 phages but are related to phage DNA of Mycobacteria and of Streptococcus pyogenes.[73] The genomes of the pac-type temperate phages Tuc2009[62] and TP901-1[63] and of the virulent phage ul36[8] share the highest nucleotide similarity of 40 –50% over the whole sequence and showed the highest relatedness within the structural gene cluster. Although ul36 is a lytic phage, its genome contains a complete lysogeny module. Three intact and three truncated P335-type prophages were identified in the chromosome of Lc. lactis IL1403.[7] The smaller IL1403 prophages lack genes for phage morphogenesis and cell lysis. The large IL1403 prophages bIl285, bIl286, and bIL309 share homology over 10– 33% of their length with other P335 phages (e.g., r1t, Tuc2009). The temperate cos-site phage BK5-T,[60] originally placed taxonomically in a distinct lactococcal phage species[6] shares 44% DNA homology with the IL1403 prophage bIL286. These two phages and the IL1403 prophage IL309 have highly similar structural proteins,[68] and it was suggested to merge phage BK5-T with the P335 phages.[8] The DNA packaging and head structural genes of the BK5-T genome have significant homology with the corresponding genomic region of the cos-site S. thermophilus phage Sfi21.[74] Data show that the mutual homology between 936-like phages or c2-like phages is much higher than between P335-like phages. The high diversity of P335 phages probably results from recombination with prophage or prophage remnants in the chromosome of bacteria.

2.

Streptococcus thermophilus

Unlike Lc. lactis phages, all S. thermophilus phages, either virulent or temperate, share DNA homology. Today, genome sequences of two temperate S. thermophilus phages (Sfi21,[66] O1205[65]) and of four virulent phages (Sfi11,[69] Sfi19,[66] 7201,[68] DT1[67]) have been published (Table 1). Two completely different late gene clusters covering the DNA packaging, head and tail genes were identified.[39] This division matched with genome topology, i.e., the presence of either cos- or pac-containing DNA. Accordingly, S. thermophilus phages were grouped into two classes: cos-type phages (reference phage Sfi21) reveal two main structural proteins, while pac-type phages (reference phage Sfi11) have three main structural proteins. The two types of structural gene clusters lack any nucleotide similarity. With respect to genome diversity and conservation,

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Hoang-Dung TRAN and friends the S. thermophilus genomes were segmented into four parts: besides the DNA packaging/ structural gene clusters, three further main segments were identified with different degrees of diversity. Segment 2 covers the putative tail fiber, lysis and lysogeny genes, segment 3 the putative DNA replication module, and finally a segment early genes important for transcriptional regulation.[57] The highest degree of diversity was noted for the second segment, in particular within the lysogeny module, where insertions, deletions, and DNA replacement events are common.[37,66] These molecular events are apparently also the cause for derivation of strictly lytic phages from temperate ancestors.[75]

3.

Lactobacillus

For lactobacilli, completed phage genome sequences are available for five different species (Lb. delbrueckii subsp. lactis, Lb. gasseri, Lb. casei, Lb. plantarum, Lb. johnsonii) (Table 1). Phages from different Lactobacillus species do not share significant nucleotide sequence similarity. The genome of the pac-type Lb. delbrueckii subsp. lactis phage LL-H is closely related to the temperate pac-type Lb. delbrueckii subsp. bulgaricus phage mv4[22,23,76] and to phage 1b539.[77] The lytic Lb. delbrueckii subsp. lactis phage JCL1032 is unique since it shares DNA homology with lytic B1 Siphoviridae phages of the same species, although this phage has a prolate-headed morphotype of the B3 Siphoviridae.[77,78] The genome of the temperate pac-type Lb. plantarum phage fg1 is larger than the Lb. delbrueckii phage genomes (42,259 bp) and shares with these phages amino acid similarity within the structural proteins.[70] Determination of the complete genome sequence of Lb. johnsonii La1 revealed that the genome contains three uninducible prophages, Lj965 (39 kb), Lj928 (39 kb), and Lj771 (42 kb).[72] Phage Lj965 showed amino acid homology to proteins of S. thermophilus phage Sfi11 within the DNA packaging, head and tail morphogenesis modules. Phage Lj928 resembles Lc. lactis S114 prophage DNA within the DNA replication and packaging proteins. Furthermore, prophage Lj771 is related to the Lb. gasseri phage fadh within the tail fiber and lysis genes. Phage fadh is a temperate cos-site phage which shares protein sequence similarity with the cos-site S. thermophilus phages within the DNA packaging, head and tail morphogenesis modules.[71,72] The temperate Lb. casei cos-type phage A2 possesses a few proteins within the structural gene module related to phage fadh.[68] The phage A2 DNA replication proteins revealed similarity with corresponding proteins of S. thermophilus phages (phages O1205 and Sfi21, respectively) and with Lb. gasseri phage fadh.[68] 4.

Comparative Genomics

Comparative genomics has identified related phages in various species of lactic acid bacteria as well as in many nondairy species.[40,56,57] When the Sfi21-like and the Sfi11-like S. thermophilus phages were used as a central reference point, step-wise graded relatedness was observed on four different levels, ranging from complete DNA similarity to partial DNA similarity, protein similarity, and functional gene map similarity. Sfi21like phages of S. thermophilus were very similar on the DNA level (level 1), while Sfi21-like phages from S. thermophilus and Lc. lactis (phage BK5-T) shared limited DNA similarity over the structural genes (level 2).[74] Sfi21-like S. thermophilus phages and Lb. gasseri phage fadh lacked DNA similarity but were linked by protein similarity over their structural genes (level 3). Finally, Sfi21-like S. thermophilus phages shared a similar organization of the functional gene map even with E. coli phages (level 4).[57] Sfi11-like S. thermophilus phages are similarly linked with a number of dairy and nondairy phages.[57] This hierarchy of relatedness was also observed for the various prophages in

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Hoang-Dung TRAN and friends one single Lc. lactis host (strain IL1403).[7] It has been proposed that Sfi21-like phages and Sfi11-like phages represent two new genera of Siphoviridae phages.[68]

D.

Life Cycle

In the lytic cycle, the proliferation of phages in host cells results in cell lysis. This life cycle includes the following steps: adsorption, transcription, translation, DNA replication, DNA packaging, particle assembly, and release of phage progeny. The lysogenic life cycle of temperate phages differs in that these phages integrate as prophage into the host chromosome. Prophage DNA can excise from the chromosome either spontaneously or by induction. They may then propagate lytically or relysogenize again. 1.

Common Steps

Phage Recognition/Adsorption/Infection. As typical viruses, phages must infect suitable (homologous) bacterial host cells for proliferation. Phage respect species borders but can easily propagate on different subspecies, as shown for the subspecies of Lc. lactis (i.e., subsp. cremoris, lactis, and lactis biovar. diacetylactis, respectively)[79 – 81] and for two subspecies of Lb. delbrueckii (i.e., subsp. bulgaricus and lactis).[22] Initially, phages must adsorb to the host cell. Frequently, adsorption occurs first in a reversible step, followed by an irreversible step.[82 – 84] For lactococci it has been shown by electron microscopy that two different types of phage attachment may occur (i.e., uniform adsorption of many phage on the whole cell surface versus unique adsorption of few phage in clumps to a limited number of receptor sites on the cell surface), reflecting the presence of different phage-specific receptors on the cell surface.[85] The latter type of adsorption is illustrated in Fig. 4.

Figure 4

Site-specific adsorption of prolate-headed lactococcal phages on the surface of a Lactococcus lactis cell (transmission electron micrograph).

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Hoang-Dung TRAN and friends Carbohydrate components in the cell wall of Lc. lactis, S. thermophilus, and Lb. casei have been identified as the initial phage receptors. Rhamnose is essential, but further carbohydrate moities in the vicinity of the adsorption sites (i.e., galactose, glucose, or their acetylated forms) are also involved.[83,84,86 – 95] At least three different types of phage receptors have recently been proposed for Lb. delbrueckii,[96] two of which are specific for isometric-headed, and one being specific for prolate-headed phages. Lb. helveticus strains were shown to be covered by a proteinaceous S-layer.[97] The central part of different S-layers was identified to be involved in playing a key role in phage adsorption. The subsequently irreversible step of phage adsorption has been studied in detail for the prolate-headed lactococcal phage. Following the first reversible binding of phage c2 to the cell wall of Lc. lactis C2, phages adsorb irreversibly to a chromosomally encoded protein embedded in the cell membrane (designated phage infection protein, or PIP).[98] Only prolate-headed lactococcal phages but not phages of other species require a PIP protein for adsorption.[99] A likely transmembrane protein required for phage DNA injection has been identified in S. thermophilus by insertional mutagenesis.[100] The injection process of the phage PL-1 genome into Lb. casei ATCC 27092 cells requires cell energy from intact cells.[82,101] It has also been suggested that this process is dependent on the protein synthesis machinery of the bacterial host.[102] Ca2þ or Mg2þ is indispensable for many phages infecting lactic acid bacteria (e.g., [103,104] ), although some can also proliferate in the absence of these divalent cations Refs. (e.g., Ref.[105]). Ca2þ may not be necessary for the first phage-adsorption steps of various LAB phages but may be required for the latter processes of phage proliferation process.[86,106,107] Calcium-binding domains were found in the putative tape measure proteins of the prolate-headed lactococcal phages.[54,55] For phage LL-H infecting Lb. delbrueckii subsp. lactis, it has been proposed that the cations may function as counterions during the translocation of the phage DNA across the cell membrane.[108] A receptor-operated Ca2þchannel system was discussed to be required for the transport of the DNA from Lb. casei phage PL-1 through the cell membrane of the host cells.[109] In-depth phage genomics has also increased our knowledge about the phage structural proteins involved in host adsorption and recognition, and it has been suggested that a complex multiple-component system is possibly involved in host-range determination in dairy phages. These phage proteins are classified in four distinct families, exhibit a multidomain structure, and contain variable regions.[59] They have been identified in S. thermophilus, Lc. lactis, and Lactobacillus phages. Receptor-binding proteins of S. thermophilus and Lc. lactis phages (BK5-T, bIL286, bIL309) are putative tail fiber proteins with collagen-type motifs flanking a variable region.[7,66,110] This region has been described as a hot spot of recombination and is prone to deletion events.[64,110,111] A variable region within the C-terminal parts of these proteins was shown to be involved in host range specificity, as confirmed experimentally for phages of S. thermophilus and for prolate-headed lactococcal phages by the generation of chimeric phage mutants with altered host ranges.[112,113] It was shown by mutational analysis that a baseplate protein of the lactococcal phage TP901-1 was required for phage adsorption and for base plate assembly.[114] Similarly, it has been found that for lactococcal phages orf18 in sk1 and orf20 in bIL170 are involved in recognition of the bacterial host.[115] Host range mutants of Lb. delbrueckii phages LL-H and JCL1032, which were able to propagate on adsorption-blocking host mutants, revealed a distinct nucleotide change in the C-terminal part of the putative adsorption proteins.[96]

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Hoang-Dung TRAN and friends Transcription and Transcription Regulation. Phage DNA is injected as linear DNA into the host cell, and circularization occurs immediately by homologous recombination either of single-stranded cos ends or of the terminally redundant DNA of pac-type phages. Establishment of double cos sites was detected 1 minute after infection of host cells with the lactococcal phage fLC3.[116] For dairy phages, two or three temporal classes of transcripts (early and late vs. early, middle, and late) have been reported. Only early and late but no middle transcripts have been reported for the virulent prolate-headed lactococcal phage c2 and for the virulent Lb. delbrueckii phage LL-H. In phage c2, transcription of the early and late genes occurs divergently.[117] Within the first 2 minutes of infection, a set of overlapping early transcripts was synthesized covering one third of the c2 genome. Early transcription was driven by very strong and simultaneously active early promoters by the host polymerase. Late overlapping c2-transcripts appearing 4– 6 minutes after infection, initiated from a single late promoter, requiring a transcription activator. Early transcripts of the LL-H genes covering approximately 17% of the genome occur up to 20 minutes after infection, while late transcripts are detectable from 40 minutes postinfection until lysis. During the transcriptional gap between 20 and 40 minutes, LL-H DNA replication is started.[23] Three classes of transcripts were detected during the lytic infection cycle of lactococcal phages sk1[118] and TP901-1[119] and of S. thermophilus phage Sfi21.[120] During phage sk1 infection, early transcription takes place 2 –5 minutes after infection in opposite direction from the middle and late genes, which are transcribed 5 –10 and 15 minutes postinfection. Evidence for phage-encoded transcriptional activators essential for the activity of middle- and/or late-inducible promoter has been reported in lactococcal P335-like phages (f31,[121] TP901-1[122]) and in 936-like phages (sk1,[58] bIL41[123]) and also in S. thermophilus phage Sfi21.[120] Transcriptional starts in temperate phages can vary significantly: early transcription of TP901-1 started within the genetic switch region,[119] while early Sfi21 transcripts covered four different genome regions (12 genes between the DNA replication genes and the cos site, a single gene close to the cos site, a superinfection immunity gene in the lysogeny module, four genes between lysis and integrase genes).[120] Transcription of prophage genes in the lysogenic host has been studied for lactococcal temperate phage BK5-T[124] and the streptococcal phages Sfi21 and O1205, repectively.[125] In all cases, only a few prophage genes are transcriptionally active. In the BK5-T prophage, transcription occurs from the cI-repressor gene, a superinfection exclusion gene, the integrase gene, and from an unidentified ORF located between the lysin gene and the att site. In the Sfi21 and O1205 prophages, the cI gene and the next two genes (including a superinfection immunity gene) further downstream are active, as are also a group of genes between the lysin gene and the att site.

DNA Replication. Replication of phage DNA is a critical step in the phage life cycle. DNA synthesis in the host cells starts 6 minute after infection by phage c6A[126] and results in high molecular weight progeny phage DNA (i.e., concatemeric forms), which is processed later in mature forms (linear single-length units). DNA replication modules of lactococcal P335-like phages are organized in various ways. They contain either a single-stranded binding protein and a replisome organizer (replication initiator protein) (bIL285,[7] BK5-T,[60] TP901-1,[127] Tuc2009,[62] ul36,[8]),

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Hoang-Dung TRAN and friends a DnaC analog and a replisome organizer (r1t,[61] bIL309[7]) or occasionally all three genes (bIL286[7]). Orf17 of phage Tuc2009 was discussed to determine a replication protein (helicase loader).[128] In general, the replisome organizers contain several direct repeats functional as origin of replications, confirmed experimentally for phage TP901-1.[127] The phage r1t DnaA analogue (Pro11 encoded by orf11) binds specifically to its own coding sequence spanning 47 bp with 6 bp short direct repeats.[129] Genes for DNA polymerases were identified in c2- and 936-like lactococcal phages.[55,58] The origins of replication of phages c2 and sk1 were shown to function as a plasmid origin of replication in the absence of phage coinfection.[58,130] Analysis of c2-derived replication intermediates led to the conclusion that phage c2 replicates via a theta mechanism.[131] Phage f31, a P335-phage with a strictly lytic lifestyle, has a replication module and an origin of replication closely related to S. thermophilus phages.[132] The majority of S. thermophilus phages contain a highly conserved DNA replication module with three proteins all showing NTP-binding motifs. In phage Sfi21, two of these proteins revealed homology to putative DEAH box helicases and to plasmid-encoded primases. The Sfi21 origin of replication downstream of the primase gene shared similarity with the minus origin of replication of the cryptic S. thermophilus plasmid pST1.[133] Only a few S. thermophilus phages [7201,[134] TP-J34 (H. Neve and K. J. Heller, unpublished results)] possess a unique replication module with high similarity to protein analogues from phages of pathogenic streptococci (replication initiator protein A, DnaC, Erf-like protein, single-stranded binding proteins). Two functional origins of replication are present in the phage replication module of phage f7201.[134] The replication modules of the lactobacilli phages fadh, A2, and fg1e were similar to the first-mentioned S. thermophilus type consisting of determinants for a NTP-binding protein, a helicase, and a primase.[70,71,135] In LL-H, the origin of replication was unusually located within a long noncoding region of the structural genes.[136] Two types of genes specifying enzymes required for resolving Holliday junction intermediates are present in the replication module of a number of lactococcal phages. RusA-like proteins are known from P335-like phages (r1t,[61] ul36,[8] TP-901-1,[63] f31.1,[10] bIL285[7]), while RuvC-like proteins were found in the 936-like phages bIL66[137] and bIL170.[59] For phage r1t it was shown that RusA binds to and cleaves specifically Holliday junction substrates. It is suggested that RusA cleaves branched phage DNA before packaging.[138] All lactococcal P335 phages also contain a dUTPase determinant at the end of the replication module. These genes are the only conserved genetic elements in this heterogeneous phage group.[8] Activity of these enzymes is required to reduce the dUTP : dTTP ratio during phage genome replication. These determinants have not been found in 936- and c2-like lactococcal phages.

DNA Packaging. Terminases are required for phage DNA packaging, in that they mediate the ATP-dependent specific interaction between the phage prohead and its DNA. Two types of phage DNA packaging of individual progeny phage DNA molecules from a concatemeric precursor into the viral proheads are known: for pac-type phages, only the first cutting occurs at a pac site and subsequent “headful” quantities of DNAs are packaged exceeding one genome unit, giving rise to a heterogeneous population of terminally redundant and circularly permuted DNA molecules. Alternatively, in cos-type phages, cutting and subsequent packaging of individual progeny phage DNA molecules from the

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Hoang-Dung TRAN and friends concatemer occurs precisely at distinct cos sites, giving rise to a family of phage genomes with complementary protruding 30 ends (cohesive ends). Cohesive ends of cos-site dairy phages are composed of single-stranded DNA with 30 overhangs. The length of the cos ends varies from 9 nucleotides (Lc. lactis phage c2[139]) to 15 nucleotides (S. thermophilus phage Sfi21[140]). A different genome structure has been reported for the lactococcal Podoviridae phage asccf28 genome, which is linear with terminal proteins linked covalently to its termini.[141] Terminases are usually composed of both a small and a large subunit. Cos sites are located either upstream (Lc. lactis phage c2,[142] S. thermophilus phage Sfi21[140]) or downstream (Lb. casei phage A2[143]) of the small terminase determinant or were located within this gene (Lc. lactis phage fLC3[144]). Similarly, pac sites either precede the gene for the small terminase subunits (Lc. lactis phage TP901-1[63]) or are located within the gene (S. thermophilus phage O1205[65]).

Phage Assembly. Posttranslational processing of the structural proteins may be an important control mechanism for phage assembly. In cos-type dairy phages, maturation of the major head protein requires cleavage of the N-terminal sequence of major head protein revealing a distinct coiled-coil prediction by a ClpP-class protease (S. thermophilus phage Sfi21,[140] Lb. gasseri phage fadh[71]). The cleaved peptide may function as the scaffolding protein required for stabilization of the pro-head components. Other phage structural proteins are also processed proteolytically. A common cleavage sequence (Pho-Pho-Arg # ) has been described for the processing sites within the major head, portal, and tape measure protein of the Lb. casei phage A2.[17] Proteolytic processing of the major head protein does not occur in pac-type dairy phages, and a separate scaffold protein gene was identified upstream of the major head gene of these phages (Lc. lactis phage ul36;[8] TP901-1,[63] O1205,[65] LL-H[23]). The major head protein of phage ul36 is unique and is closely related to S. pneumoniae phage MM1.[8] Detailed tail structures of the Lc. lactis phage TP901-1 were identified by immunoelectron microscopy (i.e., neck passage structure, major tail structural protein, base plate protein[145]). By mutational analysis it was shown that the longest gene within the tail assembly module specifies the phage tape measure protein of phage TP901-1.[114] In-frame deletion or duplication of 29% of this ORF resulted in a shortening or lengthening of the phage tail. A branched baseplate and tail assembly pathway was proposed for phage TP901-1.[114] Lysis Cassette. Phage-mediated lysis of the host cells requires the concerted action of two phage-encoded proteins—a holin and a lysin. Holins are small transmembrane proteins which upon oligomerization form lesions in the cytoplasmic membrane. These pores allow access of the phage lysin to the bacterial cell wall. Within the lysis cassette (module) of dairy phages, the holin gene normally precedes the lysine gene, but a reverse order was found in the lysis cassette of Oenococcus phages.[146,147] S. thermophilus phages usually possess two holin genes preceding the lysis gene.[148] Two distinct classes of lysins are known from dairy phages. Muramidase-like lysins are known for a number of phages of Lactococcus (e.g., phage fLC3[149]), of Lactobacillus (e.g., phage mv1[150]), and of Oenoccoccus (e.g., phage fOg44[147]). Amidase-type lysins are also encoded by numerous phages of Lactococcus (e.g., phage fUS3[151]), of Lactobacillus (e.g., phage PL-1[152]), and of S. thermophilus.[148] Phage lysins exhibit a two-domain structure with a C-terminal substrate-binding domain and

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Hoang-Dung TRAN and friends an N-terminal catalytic domain. Some lysins have been identified as natural chimerae (e.g., Lc. lactis phage bIL170 [59]). A chimeric Tuc2009 lysin was constructed by fusing its catalytic N-terminal half to the C-terminal domain of the pneumococcal LytA amidase.[153] The lysis genes of the Lactobacillus phages mv1, fadh, and fg1e were able to complement phage l S (holin) or R (lysin) mutants.[150,154,155] Traditionally, phage lysins are addressed as “endolysins.” However, the N-terminal regions of the Lb. plantarum phage fg1e[156] and of the Oenococcus phage fOg44 lysin[157] were shown to be posttranslationally processed as a signal peptide (lysis from without). According to their number of transmembrane domains, holins are classified into distinct classes: class I holins possess three transmembrane domains (e.g., Lb. casei phage PL-1[152]), while two transmembrane domains are present in class II holins (e.g., Lb. plantarum phage fg1e[158]). Some phage holins reveal characteristic dual start motifs (e.g., L. lactis phage c2[55]). The Oenococcus phage fOg44 holin is unique revealing four transmembrane domains.[147] Release of phage particles completes the lytic phage infection cycle. For lactococcal phage, burst sizes ranging from ,10[12,159,160] to 400[8] and latent periods from 10 to 140 minutes have been documented (reviewed in Refs.[161,162]).

2.

Lysogenic Cycle

Phage Decision/Genetic Switch. While infection of a host cell with virulent phages will usually result in host cell lysis, temperate phages have to decide early in the infection cycle to enter either the lytic or the lysogenic pathway. It is estimated that for the S. thermophilus phage Sfi21 and the lactococcal phage fLC3, approximately 1 out of 1000 infected cells follow the lysogenic instead of the lytic pathway.[116,125] This decision is made by the genetic switch of temperate phages. Lysis of a lysogenic lactococcal cell and release of temperate phages is illustrated in Fig. 5. A genetic switch closely related to the phage l model was identified in the Lb. casei phage A2. CI- and Cro-like regulatory proteins (repressors) are divergently transcribed from their corresponding promoters PL and PR, respectively. CI represses the lytic phage cycle and promotes the maintenance of the lysogenic cycle. The repressors bind to three 20 bp operator sites (O1, O2, and O3) within the intergenic region between the cI and cro genes. CI binds cooperatively to O1 and O2 (overlapping PR) and at higher concentrations also to O3 (overlapping PL), while Cro exhibits a reverse binding affinity.[163,164] The genetic switches of other dairy phages are organized differently. The number of operator sites may vary from two (S. thermophilus phage Sfi21[165]) up to seven (Lb. plantarum phage fg1e[166]). Operator sites not only were found within the intergenic switch region overlapping the cI and cro promoters, but were located either within (lactococcal phage r1t[167]) or at the 30 -end of the cro topologues (lactococcal phages TP901-1[168] and f31;[169] S. thermophilus phage Sfi21[165]). Differential binding of the CI- and Cro-like repressors to the seven operator sites was shown for phage fg1e.[170,171] The CI repressor of phage Lb. gasseri fadh represses the transcription from the cro and cI promoters 20- and 5-fold, respectively.[172] On the lactococcal temperate phage BK5-T genome, the divergently orientated cI and cro genes are separated by an ORF of unknown function which is located several ORFs further downstream of the switch region in other lactococcal phages like TP901-1.[60] The cro topologues of lactococcal phages TP901-1 and fLC3 and of the S. thermophilus phage Sfi21 do not bind to the genetic switch region.[165,173,174] For these phages,

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Figure 5

Lysis of a lysogenic lactococcal cell and release of temperate phages (transmission electron micrograph B) after treatment of the Lactococcus lactis culture (scanning electron micrograph A) with mitomycin C.

a protein-protein interaction between both repressors prevents the binding of the CI repressor to the genetic switch. In many dairy phages, a gene for a putative antirepressor protein is frequently located downstream of the cro homologue, but their function has not been confirmed experimentally.[175] Deletions in the antirepressor gene of the S. thermophilus phage Sfi21 did not affect the lytic growth of the phage mutants but resulted in a delayed establishment of the lysogenic state.[165] A putatively defective antirepressor was also reported for Lb. casei phage A2.[17] Integration and Excision of Prophages. Temperate phages require site-specific recombination proteins for integration into and excision from the host chromosome. All except one dairy temperate phage use tyrosine integrases of the Int family of site-specific recombinases for prophage integration, e.g., Lc. lactis phage fLC3,[176] S. thermophilus phage

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Hoang-Dung TRAN and friends Sfi21,[34] Lb. delbrueckii subsp. bulgaricins phage mv4,[177] and Oenococcus phage fOg44.[147] The integrase of the lactococcal phage TP901-1 is unique and belongs to the family of extended resolvases.[178] The minimum sizes of attB and attP allowing efficient recombination were 43 and 56 bp, respectively.[179] The TP901-1 integrase also allows a low level of prophage excision, but full excision activity requires an excisionase coded by the third gene in the early lytic operon (ORF7) located 6 ORFs upstream of the TP901 integrase gene.[180] This constellation of int and xis is highly unusual. Excisionases are so far unknown for the majority of dairy temperate phages. A unique and very acid excisionase was identified directly upstream of the Lb. plantarum phage fg1e integrase gene.[181] Besides this xis-int-attP genetic organization, an xis-attP-int constellation has been reported for the Oenococcus phage fOg44.[147] Lactococcal and S. thermophilus integrases show the closest relatedness.[182] The lactococcal phage ul36 integrase is more closely related to S. pyogenes phage integrases than to other Lc. lactis phage integrases.[8] Integration is mediated between short homologous sequences of the phage genome (attP) and the host chromosome (attB). AttP is generally located downstream of the integrase gene but was also found overlapping the 30 end of int as shown for the S. thermophilus phages Sfi21 and TP-J34.[37,183] The length of the common core sequence mediating the DNA strand exchange reaction differs significantly, ranging in size from 5 to 9 bp (Lc. lactis phages fLC3[176] and TP901-1[184]) up to 40 bp (S. thermophilus phage Sfi21,[183] Lb. casei phage fFSW[16]). Multiple integration sites of prophages into the host chromosomes are known, including 30 ends of tRNA genes (tRNASer,[177] tRNALeu,[185,186] tRNAArg[37,183]). Integration sites of dairy temperate phages were also identified in ORFs of known or unknown functions or in intergenic regions.[7,16,180]

Endonucleases and Introns. The Lc. lactis phage bIL170 possesses four genes for homing endonucleases of the HNH family[59] as free-standing ORFs between genes. Homing endonucleases are also known to be encoded within self-splicing introns at different genome positions in the Lc. lactis phage r1t,[61] in the Lb. delbrueckii subsp. lactis phage LL-H,[187] and in the Lb. casei phage A2.[17] Introns are particularly widespread in S. thermophilus phages; nearly one half of these phages contained a group IA2 intron interrupting the lysin gene.[188] 3.

Pseudolysogeny (Phage Carrier State)

Incidences of true lysogeny must not be confused with pseudolysogeny. As indicated by the term “phage carrier state,” pseudolysogeny results from a permanent infection of a (usually undefined mixed strain) starter culture by a virulent phage. These phages persist in low titers in the culture due to their propagation in a limited number of phage-sensitive cells in the culture.[189 – 191] E.

Origin of Phage and Phage Evolution

Many food fermentations are performed in a nonsterile environment. In dairy plants, phages will survive the heat treatment of milk used for cheese production.[192] Raw milk is also used for the production of a variety of traditional cheeses.[193] The discussion regarding the main routes of phage contamination in the dairy plant was controversial, but a few sources have been clearly identified (i.e., infection by lysogenic starter cultures and phages propagating on raw milk bacteria).

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Hoang-Dung TRAN and friends It was shown for the temperate Lb. casei phage fFSW that it could mutate to a virulent phage form (fFSV) during the production of Yakult.[194] Replacing the lysogenic wild-type strain by a prophage-cured derivative efficiently eliminated this phage-infection route. This transition from a temperate to a virulent phage was due to the acquisition of a 1.3 kb insertion element (ISL1) by the virulent phage, which allowed this phage to infect the original lysogenic host.[195] Deletions occurring within the lysogeny modules of temperate phages affecting the genetic switch region of the site-specific integration system result in the emergence of new lytic phages: lytic derivatives of the temperate S. thermophilus phage fSfi21 and lactococcal temperate phage BK5-T were unable to reenter the lysogenic cycle due to spontaneous site-specific deletions within their lysogeny module covering part of the integrase gene and the attP site.[75,110] Lytic S. thermophilus phages showed a replacement module derived from lysogeny modules by insertion/deletion and DNA rearrangement processes.[66] The strictly lytic P335-type phage f31 also lacks a functional integrase gene and attP region[132] but still contains a genetic switch with a dysfuntional cI gene.[169] A truncated integrase gene was also detected in the genome of the virulent Lb. delbrueckii subsp. lactis phage LL-H,[196] which otherwise is closely related to the temperate Lb. delbrueckii subsp. lactis phage mv4. A clearplaque mutant of the lactococcal temperate phage fLC3 was shown to have suffered an amber mutation in the repressor gene.[174] Raw milk is considered to be an important source of phages that propagate at low levels on phage-sensitive nonstarter lactic acid bacteria.[81,197,198] Hence it has been possible to isolate lactococcal phages directly from raw milk samples.[79] For a mozzarella cheese factory it was shown that the genetic diversity of S. thermophilus phages was not created in the factory but apparently was already present in the natural environment (i.e., in the raw-milk).[199] Lactococcal P335-like phages have either a lytic or a lysogenic life style and share all DNA homology. Hence, lytic P335-like phages can exchange DNA with prophages and prophage remnants present on the bacterial host chromosome. It is well known that this phage group is particularly “promiscous,” allowing the incorporation of various amounts of prophage or temperate phage DNA into the genomes of lytic phages.[200] Recombinant lytic P335-like phages with altered genome organizations have been isolated that were able to overcome host defense mechanisms.[10,201,202] Acquisition of a new DNA replication module and a new origin of replication was documented for the P335-like phages f31 and ul36. Recombination possibilities could be significantly reduced by insertional disruption of the prophage DNA involved in the DNA exchanges in the chromosomes.[10] P335phages could also acquire new DNA from a plasmid source.[203]

F.

Monitoring

Traditional methods for monitoring phages in the dairy field (activity tests, plaque assays) are reliable but have the disadvantage of being time-consuming and require the availability of suitable indicator strains. Methods to detect phage directly on the DNA level in whey samples proved successful using the dot blot technique (limit of detection: 105 plaqueforming units (PFU) per dot;[204]) or by PCR approaches (limit of detection: 103 PFU/ mL whey).[31] A multiplex PCR strategy was designed to detect in a single reaction the presence of the three most prominent lactococcal c2, P335, and 936 phages.[205] Alternatively, phage-specific antisera facilitated the rapid, direct serological detection

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Hoang-Dung TRAN and friends of phage in milk or whey samples within several hours by enzyme-linked immunosorbent assays (ELISA). Polyclonal antisera raised against native lactococcal c2- and 936-like phages were used originally.[206,207] Monoclonal antibodies were applied later specific for the denatured major capsid protein of P335 phages[208] or raised against native c2-like phages.[209] The limit of detection of these ELISA-based assays was low (107 PFU/mL).

III.

PHAGE DEFENSE MECHANISMS

A.

Naturally Occurring Antiphage Mechanisms

Lactic acid bacteria have been used in food fermentations for thousands of years and consequently, have been exposed to phages continuously. The strong dynamics of this intimate phage/host relationship has inevitably resulted in the manifestation of a panoply of different naturally occurring phage insensitivity mechanisms which have been studied in detail especially within lactococci. With respect to the phage life cycle described above, phage insensitivity can act at four different subsequent steps: adsorption inhibition, DNA penetration blocking, restriction/modification and finally abortive inhibition. In lactococci, many of these systems are linked with plasmids. Similar systems, some of which are not plasmid-encoded, have also been detected in S. thermophilus. Failure of lactococcal phages to adsorb to a Lc. lactis cell is illustrated in Fig. 6. 1.

Adsorption Inhibition

Attachment of a phage to the cell surface is a very specific process, dependent on phage specificity, accessibility of bacterial receptor, physiochemical properties of the cell

Figure 6

Transmission electron micrograph of a phage-resistant Lactococcus lactis cell that does not allow adsorption of lactococcal isometric-headed phages.

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Hoang-Dung TRAN and friends envelope, and the electrical potential across the cytoplasmic membrane.[210] In grampositive bacteria a thick multilayered peptidoglycan is considered to be responsible for the mechanical integrity and is located on the outside of the cell.[211] In this layer different components such as polysaccharides, lipoteichoic acid, and proteins stick out. Thus, Boonaert and Rouxhet[212] found that the surface of Lc. lactis was covered predominantly by polysaccharides and proteins in the ratio 2 : 1, while Lortal et al.[213] found that an S-layer composed of a protein covered the surface of Lb. helveticus strains. Change in the amino acid sequence can affect phage adsorption.[97] The phages first recognize a polysaccharide before they attach to a protein located in the plasma membrane. The polysaccharides are often composed of rhamnose, glucose, galactose, and glucosamine[89,91,214,215] and are covalently linked to the peptidoglycans.[87] The composition/ structure of the polysaccharides most likely varies between different strains. The first step may be reversible, while the last step involving injection of phage DNA is irreversible.[84] Failure of a phage to adsorb to a host cell (see Fig. 6) may be due to either the lack of appropriate polysaccharides on the cell surface or to a physical masking of the receptor polysaccharide or protein. The hypothesis that phages recognize an appropriate polysaccharide or that saccharides are involved in recognition is supported by several observations.[87,89,216] Gopal and Reilly[87] found in a spontaneous phage-resistant variant unable to adsorb small isometricheaded phages that the amount of galactose and glucosamine was reduced 15-fold and 3-fold, respectively, compared to the parental strain. Tuncer and Akcelik[216] found a galactose-containing receptor site for four phages. The masking may be exhibited by production of either lipoteichoic acid, a protein, or exopolysaccharides. Sijtsma et al.[210] identified the shielding components encoded by plasmid pSK112 from Lc. lactis subsp. cremoris SK110 as galactosyl-containing lipoteichoic acid, while Tuncer and Akcelik[216] in Lc. lactis subsp. lactis MPL56 found that a plasmid-encoded protein of 55.4 kDa blocked the receptor sites. Polysaccharides may either be excreted into the environment as exopolysaccharides (EPS) or form capsular polysaccharides (CPS). It has been discovered that production of EPS in some cases blocks adsorption,[217] but not always.[218] CPS seems to provide bacteria with a higher degree of protection than EPS (J. Josephsen, unpublished results). Table 2 shows plasmid-encoded mechanisms identified as blocking adsorption in Lactococcus.

2.

Blocking of DNA Penetration

In Lc. lactis C2, reversible adsorption of phage fc2 to the lactococcal cell wall is followed by irreversible adsorption to a phage infection protein (PIP) located in the cell membrane.[227] A phage-resistant mutant of strain C2 which could still adsorb the phage was shown to be defective in the phage infection protein. Hence, phage c2 could be inactivated by cell membranes isolated from strain C2 but not by a purified membrane fraction from the PIP-deficient mutant.[84] PIP is encoded by a chromosomal gene of strain C2. Phage resistance due to blocking of phage DNA penetration can also be plasmid-encoded as shown for pNP40 from Lc. lactis subsp. lactis DRC3.[228] Inhibition of PL-1 phage genome injection has also been suggested as the underlying mechanism for phage insensitivity of Lb. casei.[215] A membrane protein involved in the DNA injection process has also been identified in S. thermophilus by insertional mutagenesis.[100]

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Table 2 Plasmid pSK112 NN p2520L pKC50 pCI658 NN pCI528 pAH90 pME0030 p1149-1

Plasmids Identified as Blocking Adsorption in Lactococcus Size (kb) 54 28.5 37.5 80 58 16.5 46 26.5 48 13

Host LC SK110 LL MPL56 LL P25 LL 57150 LC HO2 LC MA39 LC UC503 LLD DPC721 LL ME2 LC 11/49

Blocking component

Ref.

Lipoteichoic acid 55.4 kDa protein Surface antigen Surface antigen Exopolysaccharide Exopolysaccharide Exopolysaccharide Undetermined Undetermined Undetermined

210 216 219 220 221,222 223 217 224 225 226

LL, Lactococcus lactis subsp. lactis; LC, Lactococcus lactis subsp. cremoris; LLD, Lactococcus lactis subsp. lactis biovar diacetylactis; NN, no name assigned to plasmid. Compiled with the assistance of Aidan Coffey, Cork Institute of Technology, Ireland.

3.

Restriction/Modification Systems

Plasmid-encoded restriction/modification (R/M) systems are widespread in lactic acid bacteria, particularly in lactococci. Many Lactococcus strains probably harbor more than one R/M system, as several strains have been observed to contain more than one R/M encoding plasmid([229 – 231]; J. Josephsen, unpublished results), indicating their importance in defending the strains against phages. An R/M system first recognizes a specific DNA sequence; then it either modifies DNA by a methyltransferase or cleaves DNA with a restriction endonuclease. Methylation is performed either on adenine or cytosine located within the recognition sequence by transfer of a methyl group from S-adenosyl-L -methionine. The bacterium methylates its own DNA, thereby protecting it against restriction. Cleavage by the restriction endonuclease will take place either within or nearby the recognition site or randomly. Therefore the R/M system can protect bacteria against foreign DNA such as phages by cleaving invading phage DNA. In general the R/M systems have a broad range of efficiency and can inactivate many different kinds of phages as they are not dependent on phage species or morphology. It only requires that the recognition sequence specific for the R/M system is present in the phage DNA and that this sequence has not been modified by methylation. The DNA of progeny phages that has escaped restriction by an R/M system will be methylated, and therefore these phages can circumvent that specific R/M system and reinfect the bacteria with a high efficiency. Therefore R/M systems alone are not very powerful; however, combined with other R/M systems or other kinds of defense mechanisms, they are more powerful. The efficiency with which they are able to restrict phages depends on the number of recognition sites in the phage DNA. As the number of recognition sites in viral DNA increases, the EOP decreases exponentially.[232] R/M systems are grouped into four main types.[233] Until now mainly type II R/M systems have been characterized from Lactococcus and S. thermophilus. R/M systems recognizing 50 -GATC-30 as LlaAI,[234,235] LlaCDHI,[236] and LlaKRI[237] seem to be very widespread not only in Lactococcus, where we found LlaAI to be present in at least 12 out of 62 isolates from a mixed Cheddar starter culture,[234] but also in many

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Hoang-Dung TRAN and friends other genera of bacteria, both gram-negative and gram-positive. It has also been found in S. thermophilus strains both on a plasmid[238] as well as in the chromosome.[239] However, most R/M systems, at least in Lactococcus, do not properly belong to type II.[234] A few type I,[224,240,241] one type III,[242] and some unusual R/M systems[231,243,244] have now been discovered. In Lactococcus (Accession numbers: AF228680, U90222, and AF034786) and S. thermophilus (Accession numbers: AJ315964, AF177167), all the known genes belonging to type I R/M systems encoding the HsdR are almost identical. The same is the case for the HsdM subunits, while the specifity subunits HsdS are different. Figure 7 shows the gene products and putative motifs of a type I RM system and the two unusual systems LlaGI[243] and LlaBII (J. Josephsen, unpublished). The LlaGI system is unusual, as it consists of only one open reading frame of 4683 or 4710 base pairs (depending on which start codon is used) and does not express type II endonuclease activity. Analyses of its predicted amino acid sequence revealed the presence of a catalytic motif and seven helicase-like motifs (DEAD-box motif) characteristic of type I and III endonucleases, followed by four conserved methylase motifs characteristic of adenine methylases. The presence of helicase motifs indicates that before cleavage it translocates DNA in an ATP-requiring process, resulting in random cleavages outside its recognition site. It was suggested to belong to a variant of type I systems due to the order of its motifs and because its methylase motifs belongs to class N12, as do type I, while type III methylases belong to class D21. Furthermore, the lack of a promoter near the start codon suggests

Figure 7

Schematic drawing of gene products with motifs indicated from three different restriction modification systems. The open boxes labeled X represent the catalytic motif, the grey boxes (I– VI) represent the DEAD-box motifs, and the black boxes the methylase motifs (CMI, CMIs, CMII, and CMIII). The drawing is not to scale.

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Hoang-Dung TRAN and friends that transcription starts from the promoter located upstream of repB. The same has been suggested for various lactococcal type I R/M systems.[245] In general, we have observed that plasmid-encoded R/M systems are very often located downstream of the replication region. The LlaBII system is even more peculiar. It consists of two open reading frames, llaAIIM, coding for 230 amino acids, and llaAIIRM, encoding 1462 amino acids. It does not express type II endonuclease activity. Analysis of its amino acid sequences revealed the presence of two methylase motifs, CMIs and CMI, and maybe a catalytic motif in the small LlaAIIM subunit; seven helicase-like motifs followed by the methylase motifs CMII and CMIII typical for adenine methylases were identified in the large LlaAIIRM subunit (J. Josephsen, unpublished results). Normally all the methylase motifs are located in the same open reading frame. It is also here presumed that the LlaBII system translocates DNA in an ATP-dependent process before cleavage. Table 3 shows all the R/M systems in lactic acid bacteria presently published. Besides complete R/M systems, it also seems that Lactococcus harbors plasmids that carry genes encoding only the HsdS subunit, alone or together with another HsdS subunit or other antiphage mechanisms([245,264,265]; J. Josephsen, unpublished results). These subunits can combine both with chromosome- or plasmid-encoded type I R/M systems and alter their specificities. It is also found that by homologous recombination they can generate chimeric HsdS subunits with new specificities.[266] Therefore, especially type I R/M systems seem to provide bacteria with flexible defense mechanisms that can be evolved to withstand the continuous development of new phages. It is also noteworthy that in type II systems in lactic acid bacteria, some genes encoding the restriction endonuclease have an unusually high similarity to their isoschizomers identified in other genera, e.g., Enterococcus, Streptococcus, and Neisseria, as shown in Table 4. This indicates that lactic acid bacteria growing in milk have developed some degree of protection against phages by horizontal transfer of genes encoding R/M systems from other genera of bacteria.

4.

Abortive Infection Mechanisms

When phages have adsorbed to a host cell and subsequently succeeded in injecting their genome into the cell interior without being fragmented by the activity of R/M systems, subsequent intracellular development (i.e., DNA replication, transcription, translation, DNA packaging, assembly of phage progeny) is the last crucial step for the host to combat the phage attack. However, since phage maturation in the host cell causes degradation of the host chromosome, death of a significant portion of the culture will occur. Hence, phage will remain entrapped in the host cell and will not be released into the environment. These phage insensitivity systems are thus designated abortive infection (Abi) systems and are easily detected either by a complete absence of phage-derived plaques or by a severe reduction in plaque size, decreased efficiency of plating (EOP) and burst size, and reduction in the efficiency at which centers of infection are formed (ECOI). Abi systems are widespread in lactococci, and at least 21 different Abi systems have been identified (Table 5). Most of them are plasmid-encoded. Generally comparisons of Abi sequences indicate diverse origins, presumably due to action on many different steps in the phage life cycle; however, there are a few exceptions, such as AbiF, which is 26% identical to AbiD and 46% to AbiDI;[267] AbiA, found on two different plasmids (pTRK2030 and pCI829), is similar to AbiK. This suggests the presence of families of Abi

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Table 3

Restriction/Modification Systems Characterized in Lactococcus lactis and Streptococcus thermophilus Name

Specificitya

Host

Location

Ref.

Type I Lla1403I Lla42oIb Lla82I Lla90I LldI Sth135I SthSFiI

LL IL1403 LC IL420 LL DPC220 LL DPC721 LL LD10-1 ST 135 ST Sfi1

Undetermined Undetermined Undetermined Undetermined Undetermined Undetermined Undetermined

Chromosome pIL2614 pAH82 pAH90 pND861 pER35 Chromosome

241 245 224 224 240 246 100

Type II LlaAI LlaDCHI LlaKR2I Sth8I Sth368I LlaCI LlaBI LlaDI LlaG2I

LC W9 LC DCH-4 LL KR2 ST 8 ST CNRZ368 LC W15 LC W56 LC W39 LC

50 50 50 50 50 50 50

pFW094 pSRQ700 pKR223 pSt08 Chromosome pAW153 pJW563 pJW394 Unspecified

Lla497I Sth117I SslI Sth455I ScrFI LlaMI LlaDII Sth0I Sth134I Sth132I

LL NCDO497 ST 117 ST T ST CNRZ455 LC UC503 LCM19 LC W39 ST 0 ST 134 ST 132

50 CCW # GG 30 50 CC # WGG 30 50 CCWGG 30 50 CCWGG 30 50 CC # NGG 30 50 CCNGG 30 50 GC # NGC 30 50 GCNGC 30 50 C # CGG 30 50 CCCG(N)4 30 , 30 GGGC(N)8 50

Unspecified Chromosome Chromosome Chromosome Chromosome Unspecified pHW393 pSt0 Chromosome Chromosome

234,235 236,247 237 Accession no. AJ239049 239 248,249 234,235,250 Accession no. AJ292520 B. Karska-Wysocki, Rebase 251 252 253 254 255 – 258 259 260 238 261 262

Type III LlaFI

LL 42-1

Undetermined

pND801

242

Nonclassical type LlaGI LlaBIII

LC W10 LC W56

Undetermined Undetermined

pEW104 pJW566

LlaBII

LC W56

Undetermined

pJW565

LlaI

LL ME2

Undetermined

pTR2030

243 231 J. Josephsen, unpublished 231; Accession no. Y12736 244,263

# GATC 30 # GATC 30 # GATC 30 GATC 30 GATC 30 A # AGCTT 30 C # TRYAG 30

50 G # CTAGC 30

LC, L. lactis subsp. cremoris; LL, L. lactis subsp. lactis; ST, Streptococcus thermophilus, W ¼ A or T; R ¼ A or G; Y ¼ C or T; N ¼ ACG or T. a The cleavage point, where known, is indicated by # . b Designated Lla2614I in REBASE.NEB.COM Source: Compiled with the assistance of Aidan Coffey, Cork Institute of Technology, Ireland.

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Hoang-Dung TRAN and friends

Comparison of Type II Restriction Endonucleases Isolated from Lactococcus with Their Nearest Isoschizomera

Name of RM system

Name of isoschizomer

LlaBI

SfeI

LlaDII

SthSt0IP

Origin of isoschizomer

Number of a.a. in REase/ isoschizomer

% Identity (in a.a. out of)

% Similarity (in a.a. out of)

Accession numbers: lactococcal REase/ isoschizomer

299/293

97% (280/286)

97% (282/286)

X97263/AY151403

LlaDCHI/ LlaAI LlaKR2I LlaDI

Bsp6I Ssu4109IB

Enterococcus (formerly Streptococcus) faecalis Streptococcus thermophilus Bacillus Streptococcus suis

Sau3AI NmeSI

Staphylococcus aureus Neisseria meningitidis

496/489 252/199

33% (160/472) 33% (77/200)

51% (246/472) 55% (111/200)

LlaCI

EcoVIII

Escherichia coli

332/307

26% (29/108)

48% (53/108)

ScrFI

LlaMI

Lactococcus lactis

271/271

97% (263/271)

97% (265/271)

180/180

82% (148/179)

90% (164/179)

Y12707/AJ242480

180/174 304/301

42% (67/156) 73% (221/300)

64% (50/57) 83% (258/300)

Y12707/X81638 NC_002798/ AB058945 AF051563/M32470 AJ292520/ AF123569 AJ002064/ AF158026 U89998/AF487827

Bacteriophage and Antiphage Mechanisms of LAB

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Table 4

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Table 5

Abortive Infection Systems Characterized from Lactococcus

Name Mechanism

Host

AbiA

Early

LL ME2

AbiB

Late

LL BA2 LL IL416

AbiC AbiD AbiD1 AbiE AbiF

Late Late Late Late Early

AbiG AbiH AbiI AbiJ

Late — Late —

AbiK

Early

AbiL AbiN AbiO

Late — —

AbiP

Phage species affected

Number of amino acids

Location

936, P335, c2

628

936

250

936 936, c2 936 936 936, c2

344 366 351 286, 297 341

936, c2 936, c2 936, c2 936

249, 397 346 331 282

pCI829 286,287 Chromosome 123,288 222 pCI642 pTN20 289 pBF61 290 pIL105 291 – 293 pNP40 277 pNP40, 277,294,295 pAJ2074 pCI750 279,296 Chrom. 297 pND852 298 pND859 299

599

pSRQ800

458, 297 178 540

pND861 300 Chromosome 301 pPF144 302

Early

936, P335, c2 LL LD10-1 936, c2 LC S114 936, c2 LL S45-91- 936, c2 1 LC IL420 936

244

pIL2614

AbiQ AbiR

Late Early

LL W-37 LL KR2

936, c2 936, c2

183 2 loci, (4 ORFs)

pSRQ900 pKR223

AbiS

—

LC W60

936

AbiT AbiU

Late Early

LL W51 LL51-1

936, P335 936, P335, c2

DNA pAW601 structure 127, 213 pED1 589, 341 pND001

LL ME2 LL KR5 LL IL964 LL DRC3 LL DRC3 LL 4942 LC 320 LL S94 LL M138 LL UK12922 LL W1

pTR2030

Ref. 281 – 285

270,275

M. C. Chopin, personal communication (Accession no. U90222) 247,274 J Josephsen unpublished (Accession no. Ad132009) 268 280 273

mechanisms. All Abi systems are characterized by an unusually low G þ C content of their genes (26 – 29%), which differs significantly from the 37% average determined for other known lactococcal genes. The AbiE, AbiG, AbiL, AbiR, AbiT, and AbiU phenotypes require two genes, while all the other Abi systems except AbiS only require a single gene.

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Hoang-Dung TRAN and friends AbiS involves noncoding sequences with high homology to the cos region of 936 phages and regions repeated several times, as shown in Fig. 8 (J. Josephsen, unpublished results). Little is known about the modes of action of the Abi systems, and often they are only categorized according to their ability of acting early (before or on DNA replication) or late (after replication) in the lytic cycle of the phage development;[269] however, a few systems have been characterized in more details. Furthermore, it has been found that the mode of action for some Abi system like AbiK and AbiG is distinct for the different phage species.[270,271] This indicates that the proteins encoded by abiK and abiGii may be multifunctional with more than one active site, as suggested for proteins larger than 300 amino acids.[271,272] A drawback is that not all of the systems have been examined against the three main phage species. All systems affect 936 phages, 11 systems also affect c2 phages, while three systems affect all the three main species. AbiA, AbiG, and AbiK generally affect the 936 phages stronger than the c2 phages, while AbiU affects c2 more than 936 phages.[273] AbiQ is very effective against both 936 and c2 phages.[274] The AbiA, AbiK, AbiF, and AbiR systems act on the phage DNA replication or prior to this in the host cells.[275 – 277] AbiG, AbiU, and an undefined Abi system encoded by plasmid pBU1-8 from Lc. lactis subsp. lactis Bu2 inhibits or delays transcription of phage DNA.[226] AbiB was shown to prevent phage growth by promoting degradation of transcripts derived from phage bIL170 (936 species) infection of Lc. lactis subsp. lactis IL1403 starting 10 – 15 minutes after infection.[123] It has been suggested that an early product of the phage either induces the synthesis or stimulates the activity of an RNase in the AbiBþ cells. Using monoclonal antibodies raised against the major capsid protein of phage u136 in an ELISA test system, it was shown that the production of this structural protein was reduced by 50% in lactococcal host cells harboring the AbiC system.[278] AbiE, AbiG, AbiQ, and AbiT also act at a late stage in phage development, since phage DNA replication is not inhibited.[274,277,279,280] In cells harboring AbiQ, the immature concatemeric form of phage DNA accumulated in the cells. This suggests that it may be defective and unable to be processed into mature phages or that genes involved in phage morphogenesis are affected by AbiQ.[274] It has been suggested that one of the late mRNAs or proteins activates the AbiT mechanism and causes premature cell death.[280] Phage mutants capable of overcoming the abortive infection mechanism (i.e., Abiresistant mutants) have been used to identify the Abi targets on the phage genome. By this approach, mutants from lactococcal phage bIL66 (936 species) capable of overcoming the

Figure 8

Schematic drawing of plasmid pAW601 encoding AbiS. The grey arrows show the location of the sequences with homology to the cos region of phage sk1. The open arrows show the location of identical sequences of 96–98 bp; the black arrows the locations of identical sequences of 147 bp. The arrow marked repB is an open reading frame with high homology to theta replication proteins.

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Hoang-Dung TRAN and friends AbiD1 phage resistance were isolated.[293] It has been suggested that the terminal part of Orf1 protein interacts with the AbiD1 gene product to decrease the amount of the gene product from the third orf, encoding an endonuclease homologous to Escherichia coli RuvC resolvase, below a critical level required for DNA maturation prior to packaging.[304] In a similar approach, Dinsmore and Klaenhammer[281] studied spontaneous mutants of the lactococcal phage f31 (P335 species), which revealed insensitivity to the AbiA system. Rince et al.[267] have identified a 324 bp fragment containing the cos site from phage sk1 that reduced the effect of AbiF on phage 712. More than one Abi system can be present in single lactococcal strains either on the same plasmid, such as Abi E and Abi F on pNP40 or on separate plasmids, such as AbiA and AbiC. Furthermore, Abi systems are frequently combined in a single lactococcal strain with other antiphage mechanisms. For example, five phage resistance mechanisms have been identified in Lc. lactis ME2 coded by the three plasmids pTR2030 (AbiA plus LlaI R/M system), pTN20 (AbiC plus another R/M system), and pME0030 (undefined phage adsorption inhibition mechanism).[230] The conjugative plasmid pNP40 encoding AbiE and AbiF also codes for a third mechanism inhibiting phage DNA injection.[228,277] The two genetic loci encoding AbiR mechanism flank the LlaKR2I R/M system on plasmid pKR223.[303] Abi systems are also supplemented by R/M systems in other lactococcal strains.[305,306] Thus, abortive infection only occurs in those cases in which a phage attack could not be blocked in previous steps of the lytic cycle of phage infection. Therefore, the incidence of cell death due to Abi systems is reduced to a minimum. Response of phage resistance to temperature is of considerable practical importance, since elevated temperatures are routinely used during cooking in cheese manufacture. Thus, several Abi systems becomes significantly weaker at higher temperatures (408C).[275,295,303] In contrast, phage-resistance mechanisms may become more active at higher temperatures in S. thermophilus.[307]

B.

Artificial Phage-Resistance Mechanisms

Phage insensitivity of dairy starter strains can be conveniently improved by introducing naturally occurring phage-resistance determinants. However, it has been shown also that different elements from the phage itself can be exploited for phage control. Thus, phage genes have been cloned either with their own promoter or behind a new promoter, or genes have been cloned in antisense orientation behind new promoters. Also, noncoding phage sequences have been utilized for construction of novel antiphage mechanisms. Furthermore, a phage promoter has been combined with a lethal gene to construct a phage-triggered defense system.[308] Most of these systems are still not very efficient, and they only inhibit a small number of phages, most often only the phage from which the element has been cloned.[309] 1.

Antisense RNA Strategies

One of these novel phage-resistance mechanisms is based on an antisense RNA strategy where a gene is cloned behind a promoter in its antisense orientation. It is anticipated that its antisense RNA transcript will bind to target sense mRNA, preventing translation either by destabilizing and making it more susceptible for degradation by RNases or by inhibiting loading of ribosomes.[310] In the first attempt, an undefined gene (gp51c) present

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Hoang-Dung TRAN and friends on a 1.6 kb fragment from lactococcal phage f7-9 was cloned in the antisense orientation with respect to a strong lactococcal promoter.[311,312] This construct, when introduced into a lactococcal recipient, conferred significant phage insensitivity to the host cells (i.e., a 1023 reduction in EOP accompanied by a reduction in plaque size). However, constructs based on truncated forms of the gene were less effective. Antisense constructs directed against other genes of f7-9 (gp18C, gp24C) or the major capsid protein of another phage (fF4-1) were much less effective, implying that this technique requires care in selecting phage genes which have to be essential for phage proliferation and which should be transcribed at a low level.[313 – 315] Thus, two middle- and four late-expressed orfs from phage w31 were cloned behind the strong Lactobacillus P6 promoter and the T7 terminator, but they had no effect on the EOP or plaque size of phage w31. Only when the late-expressed gene was cloned on a vector containing the phage w31 origin of replication some protection was obtained.[310] Successful exploitation of an antisense strategy was shown by McGrath et al.[128] They cloned eight different orfs from the phage Tuc2009 replication module as antisense constructs and found that orf17 and rep2009 efficiently inhibit proliferation of four P335 phages. Both rep2009 (the putative replisome organizer gene) and orf17 (the putative helicase loader gene) are involved in replication of phage Tuc2009.[128] Many S. thermophilus phages possess a highly conserved DNA replication module, which was shown to be an effective target for an explosive antisense RNA strategy.[309] An antisense RNA cassette complementary to a helicase gene of a cos-site S. thermophilus phage was cloned into a phage-encoded resistance plasmid containing the origin of replication of the same phage. This combination resulted in a drastic reduction in efficiency of plaquing down to 1027 – 1028.

2.

Utilization of Origin of Replication (PER)

Another approach is based on utilization of the phage origin of replication. The method was designated “Per” for phage-encoded resistance,[316] even though other kinds of phage elements may also be used for construction of antiphage mechanisms. When the cloned origin of replication (ori) of the lactococcal phage f50[316] was introduced into Lc. lactis subsp. lactis NCK203, the host’s insensitivity to f50 infection was enhanced as indicated by a reduction in EOP and in plaque size. It was assumed that the cloned per locus competes in trans with normal phage replication. The Per system derived from phage f50 was also effective against other phages (e.g., f48) containing homologous phage origins of replication but failed to combat phages with different origins (e.g., f31). Per systems have also been described for other lactococcal phages[62,317] and have been demonstrated to be effective in S. thermophilus [134,318] and Lb. casei.[135] Hence, as shown before for “artificial” mechanisms, this technique is also highly effective but specific for distinct types of phage. 3.

Utilization of the Phage Repressor

Temperate phage have a gene encoding a repressor, CI, suppressing the expression of the lytic cycle. When orf4 encoding the repressor from phage TP901-1 was cloned in pAK80, a middle copy number vector,[319] and transformed into the host Lc. lactis 3107, full protection against phage TP901-1 and an EOP less than 1026 was observed.[173] When the homologous gene from the lytic P335 phage w31 was cloned in pAK80 or pTRKH2 no inhibition was seen, but when a truncated version of the CI repressor was constitutively expressed on a high copy number vector, retardation

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Hoang-Dung TRAN and friends of several P335 phages was observed.[169] In S. thermophilus cloning of a repressor open reading frame from phage Sfi21 protected the strain against superinfection with homologous temperate phages, but not with virulent phages.[165] Integration of the cI gene of phage A2 into the Lb. casei host chromosome resulted in stable resistance against superinfection with the A2 phage. The engineered strain could be used for milk fermentation in the presence of viable A2 phage, which were eliminated from the milk through adsorption to the bacterial cells.[320]

4.

Superinfection Exclusion

McGrath et al.[321] used a gene, designated sie2009 (superinfection exclusion), located between the genes encoding the repressor and the integrase on the temperate phage Tuc2009 to impede phage infections. Computer analysis predicted that the SIE2009 protein is associated with the cell membrane. They cloned the sie2009 gene downstream of a constitutive promoter on a high copy number plasmid, resulting in pNZ44 sie2009. They found that Lc. lactis harboring the pNZ44 sie2009 did not protect the bacteria against phages belonging to the c2 or P335 species, whereas it confers a complete resistance phenotype against three 936 phages: sk1, jj50, and 712. It does not affect phage adsorption, transfection, and plasmid transformation, but interferes with plasmid transduction and phage replication, indicating that it blocks the injection of phage DNA like a superinfection exclusion mechanism. They screened DNA sequences of temperate phages for the presence of other phage-resistance mechanisms situated between the genes encoding the integrase and repressor, having a hydrophobic N-terminus and/or one possible membrane spanning domain. They found two such systems with similar phage-resistance phenotype to that conferred by sie2009, but with no homology to sie2009. They propose that superinfection exclusion mechanisms are widespread and that prophage sequences may contribute to the phage resistance of the bacteria. S. thermophilus Sfi1 was transformed with the cloned superinfection exclusion gene of the temperate phage Sfi21 and showed resistance to superinfection by heterologous phage, but not to the homologous phage Sfi21.[322] 5.

Phage-Triggered Defense Mechanism

This bacterial suicidal system employs a strictly phage-inducible promoter to activate a cassette of lethal genes.[308,323] A phage-inducible middle-expressed promoter from the lytic phage w31 was placed upstream of the lethal LlaIR restriction cassette consisting of three genes and cloned on a high copy number replicon. When phage w31 infected Lc. lactis with this construct, the EOP was lowered to 1024 and the burst size was reduced fourfold.[308] It is very important that the phage promoter is tight and does not permit any transcription of the restriction endonuclease cassette in the absence of a phage infection. Since the system did not harbor the methylase gene, phages circumventing the mechanisms by methylation will not be developed. However, phages less sensitive to the mechanisms were developed after repeating exposure to it. These phages all had mutations in the gene encoding the activator of the phage promoter, thereby lowering the strength of activation. In general, this system requires a fine balance between the timing, the strength of the phage-inducible promoter, the tightness of its regulation, and the lethality of the selected suicide gene.[323]

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Hoang-Dung TRAN and friends

IV.

FROM CONVENTIONAL PHAGE CONTROL TO MODERN APPROACHES

Milk fermentations are not performed under aseptic conditions, since the substrate milk is usually treated by pasteurization and not by heat-sterilization prior to fermentation. However, phages are known to survive temperature conditions used for pasteurization,[192] and further, raw milk without any heat treatment is also quite commonly used for many traditional cheeses. Having once contaminated a dairy environment, phages are easily spread, in particular via the air and in whey residues of cheeses.[81,324,325] Thus, the steps used in handling whey are critical with respect to phage distribution (e.g., whey separators, whey drainage systems, filling lines). For economic reasons, milk fermentations have been continuously scaled up, and short-time fermentations with more than one filling of the vats per day are routine, enhancing the phages’ opportunities to infect active starter bacteria continuously. Lactococci harboring various plasmid-encoded phage-resistance systems have become a rich source of applications to improve the phage resistance of starter strains.[269,326 – 337] Many of these plasmids are conjugative, and hence conjugal strategies were developed avoiding the use of selecting transconjugants on the basis of antibiotic resistance markers in the recipient strains. Harrington and Hill[338] made use of a concomitant nisin resistance marker to transfer the phage insensitivity plasmid pNP40[339] by conjugation. Bacteriocin resistance suitable for selection is also a natural plasmidencoded trait found to be linked with phage insensitivity determinants.[305,340 – 342] Similarly, lacticin 481[330] and lacticin 3147[343] have been used as selective markers to introduce phage resistance into starter cultures. Another method was the utility of cadmium resistance as a selective marker.[334] O’Sullivan et al.[336] have by sequential conjugal transfer using bacteriocin and cadmium resistance for selection constructed a strain harboring three different antiphage mechanisms: an adsorption inhibition mechanism, an R/M, and an Abi system. Insensitivity plasmids have also been transferred by co-transformation, originally by protoplast transformation, but later most conveniently by electroporation.[231,292,306,344,345] Phage-resistance determinants were also routinely cloned into suitable vectors and subsequently used for transformation (e.g., Refs.[242,250,260,275,277,279,286,289,290,294,346 – 350]). As transformation of naturally occurring R/M-encoding plasmids into starter strains is not easily performed, it is advisable to evaluate compatibility between the incoming and resident plasmids and to determine the actual strength of phage protection against the disturbing phages of starter strains grown in milk before steps for improvement of starter strains are initiated. In order to facilitate the selection of transformed starter strains, a chloramphenicol resistance cassette was inserted into the native R/M-encoding plasmids. The potential of systems LlaAI and LlaBIII on plasmids carrying their original replicon to protect starter strains has been evaluated in this way.[331,332] Cloning of an Abi-type phage-resistance determinant in a foodgrade vector using the natural nisin-resistance selection marker opens new perspectives for safe applications in dairy fermentations.[351,352] These various approaches also allowed the stacking of various phage insensitivity plasmids conferring complementary phageresistance mechanisms to single strains in order to enhance the phage insensitivity to different phage types common in dairies.[353] Combining R/M systems with abortive defense mechanisms in lactococci also improves cell survival upon phage infection, since cell death due to phage-induced abortion will be minimized.[345,350]

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Hoang-Dung TRAN and friends It has also been demonstrated that cloned phage resistance determinants derived from the lactococcal plasmid pSRQ700, which expresses R/M activity (LlaDCHI), could also be expressed in the thermophilic species S. thermophilus.[347] The lactococcal abortive infection mechanisms AbiA and AbiG were also introduced into a S. thermophilus strain. AbiA proved effective at 308C but not at 37 or 428C.[354] AbiG did not affect any phages.[354] This success in crossing the species barrier will undoubtedly open new perspectives in enhancing phage resistance of nonlactococcal starter strains.

V.

PHAGE COUNTERDEFENSE STRATEGIES

Phages that are continuously exposed to bacterial phage defense mechanisms will develop counterresistance mechanisms. In general, phages can avoid restriction by decreasing the number of restriction sites in their genome.[12,355,356] Furthermore, phages may acquire a functional part of the structural gene encoding a methylase.[203] As mentioned above, lactococcal phages able to prevail over different Abi systems have been isolated. In general, phages overcome Abi systems either by introduction of point mutations or by recombination with other phages or prophages in the genome of the host.[267,281,293] VI.

PHAGES AS GENETIC TOOLS

A.

Transduction

Phages may contribute efficiently to vertical gene fluxes among their bacterial hosts by transduction, and both virulent and temperate phages are known to mediate the transfer of either chromosomal or plasmid DNA among strains of lactococci,[357 – 365] lactobacilli,[358,366] and S. thermophilus.[367] Transduction was also confirmed in the milk matrix.[368] Transduction transfer efficiencies of vector constructs increased significantly upon insertion of phage-specific genome sequences as shown for the cos-site regions of the temperate lactococcal phage fLC3 and of the virulent phage c2 cloned into the shuttle vector pSA3.[139,369] Recently it was shown that transduction of plasmids containing the cos region of the lactococcal phage sk1 occurred by packaging of trimeric concatemers terminating in the cos ends.[370] Enhanced plasmid transduction of the lactococcal plasmid vector pGK12 by the temperate Lb. gasseri phage fadh was also achieved by inserting randomly cloned fadh DNA into pGK12. The increase in transduction frequency of the recombinant plasmids correlated with the extent of DNA-DNA homology between these constructs and phage fadh. This strategy also allowed a transductional transfer into Lb. gasseri strains which did not support lytic growth of phage fadh.[371] Transduction has been successfully applied for detailed host range determinations of temperate lactococcal phages and provided a good methodology for rapidly testing strains for both the ability to adsorb phages and permit DNA injection.[321,369,372] B.

Construction of Site-Specific Integration Systems

During recent years, research has focused on the temperate phage of lactic acid bacteria in order to exploit their capacity to promote site-specific integration into bacterial. For a firstgeneration type of integration vector, undefined lactococcal prophage DNA was cloned into a suitable vector (pE194) unable to replicate in lactococci.[373] Later, site-specific phage integration cassettes derived either from the temperate lactococcal phages fLC3,[374] TP901-1,[178,184] Tuc2009,[375] TPW22,[182] from temperate Lactobacillus

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Hoang-Dung TRAN and friends phages fadh,[376,377] mv4,[177] A2,[186] fFSW,[16] from temperate S. thermophilus phage Sfi21,[183] and from temperate Oenococcus phage f10MC[185] were used to construct integration vectors. The phage-derived cassettes include the corresponding phage attachment sites (attP) and the adjacent phage integrase genes, respectively, and were cloned into suitable nonreplicative vectors. Integration occurred by a site-specific recombination process between the attP of the phage genome and the homologous attB site on the prophage-cured host chromosome following the Campbell model.[378] The integration vector pBC170 based on the integration system of the lactococcal phageTP901-1[178] integrated into the lactococcal chromosome very efficiently (8
105 transformants per mg DNA). When a DNA cassette containing the integrase gene from the lactococcal phage fLC3 and its attP site were inserted into a replication-thermosensitive plasmid, essentially all transformants obtained from Lc. lactis subsp. cremoris LM0230 were shown to be integrants. Due to the high efficiency of transformation plus integration events, DNA constructs directly obtained from ligase reaction mixtures could be used for site-specific integration.[374] Since Lb. delbrueckii subsp. bulgaricus is recalcitrant to transformation techniques, insertion of an integration vector based on the Lb. lactis subsp. bulgaricus phage mv4 was demonstrated in the heterologous host Lb. plantarum, since a homologous attB site required for integration was also present in the heterologous host.[177] The site-specific integration of the phage mv4 –derived integration vector pMC1 into the chromosomes of various other bacteria was shown later (i.e., Lb. casei, Lc. lactis subsp. cremoris, Enterococcus faecalis, S. pneumoniae), illustrating the wide host range of this phagederived integration system.[379] This flexibility of phage integrases was also noted for Lb. casei phage A2[186] and for lactococcal phage TP901-1,[179] and recombination could also take place in E. coli. The TP901-1 integration system is even functional in mammalian cells.[380] Integrases of phage mv4 and of phage TP901-1 did not require additional bacterial host factors for recombination.[179,381] The TP901-1 integration system was used to construct chromosomal single-copy transcriptional fusions on basis of promoter-reporter vectors.[382] A unique site-specific integration and delivery system based on the integrase gene and the attP site of the Lb. casei phage A2 has been combined with a heterologous b-recombinase – derived clearing system. This two-component system allowed the safe deletion of non– food-grade genes required for selection during the integration process.[383]

C.

Inducible Gene Expression Systems

Based on the genetic switch elements of the temperate Lc. lactis phage r1t, a food-grade inducible gene expression system has been constructed for lactococci. The system included the two divergently orientated genes rro (putative phage repressor: repressor of r-one) and tec (topological equivalent of the phage l cro gene), respectively, their preceding promoters, and three 21 bp operator sites, two of which partially overlap the promoter sequences.[167] The intact regulatory region was placed in front of a lacZ (E. coli) translational fusion constructed with an ORF following tec. Hence, the activity of the translational fusion construct became controllable by addition of mitomycin C. Since this agent promotes the switch of the temperate phage from the lysogenic to the lytic cycle, expression of the lacZ fusion could be induced 70-fold. Later, a temperature-sensitive derivative of the phage r1t repressor was designed for the development of a more efficient temperature-inducible expression system.[384] The Lb. casei phage fFSW was used as

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Hoang-Dung TRAN and friends source for isolation of the thermoinducible promoter-repressor cassette. In the lysogenic Lb. casei host, a gusA reporter gene under the control of the isolated fFSW promoter was repressed at 288C and expressed at 428C.[385]

D.

Exploitation of Phage-Encoded Lysins

It has been shown for Lc. lactis and S. thermophilus starter cultures that their autolytic behavior correlates well with the presence of prophage DNA in their chromosomes.[386 – 388] These strains contribute to an accelerated cheese ripening and debittering process due to the release of peptidolytic enzymes. Phage-encoded determinants for cell-wall– degrading enzymes (lysins) were among the first genes to be cloned from phages of lactococci[389] and lactobacilli.[150] Expression of the cloned lysin gene of the lactococcal phage fvML3 in lactococci resulted in cell lysis in the stationary phase.[390] The lysis cassettes of the lactococcal phages r1t[391] and fUS3[392] were used in food-grade chloride or nisin-inducible gene expression systems for controlled accelerated cheese ripening. Expression of the transcriptional activator (Tac31A) of the lactococcal phage f31 in trans in lysogenic strains harboring a phage f31-homologous promoter resulted in a leaky behavior of these cultures due to the activation of the holin-lysin cassettes on the resident prophages. Integration of the phage r1t lysis cassette under the control of the phage f31 late promoter into a lactococcal host chromosome resulted in a similar leaky phenotype.[393] Growth of the leaky cells, which could externalize enzymes and antigens without the use of export signals into the growth medium, was not severely affected. Vasala et al.[394] have shown that the lysin of the Lb. delbrueckii subsp. lactis phage LL-H also hydrolyzed cell walls of other lactic acid bacteria (Lb. delbrueckii subsp. bulgaricus, Lb. acidophilus, Lb. helveticus, Pediococcus damnosus), which may enhance its possible role as a cheese-ripening additive. The LL-H lysin cloned can easily be purified from E. coli cells by thymol treatment and expanded-bed adsorption chromatography.[395,396] A purified phage-encoded lysin has been exploited to generate protoplasts suitable for transfection studies of Lb. casei ATCC 27092.[397,398] E.

Phage-Induced Plasmid Amplification and Gene Expression

O’Sullivan et al.[317] have shown that the presence of the origin of replication from phage f31 (Per31), when cloned in trans on a plasmid, can promote a significant amplification of the plasmid construct upon superinfection of the lactococcal host with the homologous phage f31. Based on this observation, a promoter-screening strategy was used to fuse f31-specific expression signals (i.e., middle inducible phage promoters) with a promoterless lacZ gene from S. thermophilus. This f31 promoter lacZ cassette was subsequently cloned in a low copy vector containing the Per31 locus.[399] Infection of Lc. lactis NCK203 harboring this construct resulted in an explosive induction of b-galactosidase activity due to the synergistic effect of phage-induced gene expression and phage-induced plasmid amplification. VII.

CONCLUSIONS

During food fermentations, the handling of starter cultures composed of lactic acid bacteria cannot be performed under strictly aseptic conditions (as practicable in other

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Hoang-Dung TRAN and friends areas, e.g., the medical field). Hence, phage populations have ample opportunity to infect these cultures. Traditional and new strategies to keep the incidences of phage infections low rely on a deep knowledge of the dynamic relationships among the cultures and their viral enemies. Research on the phage has also opened a variety of different perspectives with respect to the genetic engineering of lactic acid bacteria.

REFERENCES 1. Ackermann, H.W.; Dubow, M.S. Introduction: general properties of bacteriophages. In: Viruses of Prokaryotes; CRC Press: Boca Raton, FL, 1987; 1 – 11. 2. Whitehead, H.R.; Cox, G.A. The occurrence of bacteriophages in culture of lactic streptococci. NZ J. Dairy Sci. Technol. 1935, 16, 319 – 320. 3. Bradley, D.E. Ultrastructure of bacteriophages and bacteriocins. Bacteriol. Rev. 1967, 31, 230 – 314. 4. Ackermann, H.W. Tailed bacteriophages: the order Caudovirales. Adv. Virus Res. 1999, 51, 135 – 201. 5. Ackermann, H.W.; DuBow, M.S. Bacteriophage taxonomy. Aims and purposes. In: Viruses of Prokaryotes; CRC Press: Boca Raton, FL, 1987; 13 – 28. 6. Jarvis, A.W.; Fitzgerald, G.F.; Mata, M.; Mercenier, A.; Neve, H.; Powell, I.B.; Ronda, C.; Saxelin, M.; Teuber, M. Species and type phages of lactococcal bacteriophages. Intervirology 1991, 32, 2 – 9. 7. Chopin, A.; Bolotin, A.; Sorokin, A.; Ehrlich, S.D.; Chopin, M.C. Analysis of six prophages in Lactococcus lactis IL1403: different genetic structure of temperate and virulent phage populations. Nucl. Acids Res. 2001, 29, 644 – 651. 8. Labrie, S.; Moineau, S. Complete genomic sequence of bacteriophage ul36: demonstration of phage heterogeneity within the P335 quasi-species of lactococcal phages. Virology 2002, 296, 308– 320. 9. Moineau, S.; Fortier, J.; Ackermann, H.W.; Pandian, S. Characterization of lactococcal bacteriophages from Quebec cheese plants. Can. J. Microbiol. 1992, 38, 875 – 882. 10. Durmaz, E.; Klaenhammer, T.R. Genetic analysis of chromosomal regions of Lactococcus lactis acquired by recombinant lytic phages. Appl. Environ. Microbiol. 2000, 66, 895 – 903. 11. Moineau, S.; Borkaev, M.; Holler, B.J.; Walker, S.A.; Kondo, J.K.; Vedamuthu, E.R.; Vandenbergh, P.A. Isolation and characterization of lactococcal bacteriophages from cultured buttermilk plants in the United States. J. Dairy Sci. 1996, 79, 2104– 2111. 12. Josephsen, J.; Andersen, N.; Behrndt, H.; Brandsborg, E.; Christiansen, G.; Hansen, M.B.; Hansen, S.; Nielsen, W.E.; Vogensen, F.K. An ecological study of lytic bacteriophages of Lactococcus lactis subsp cremoris in a cheese plant over five year period. Int. Dairy J. 1994, 4, 123– 141. 13. Braun, V.; Hertwig, S.; Neve, H.; Geis, A.; Teuber, M. Taxonomic differentiation of bacteriophages of Lactococcus lactis by electron microscopy, DNA-DNA hybridization and protein profiles. J. Gen. Microbiol. 1989, 135, 2552– 2560. 14. Forsman, P.; Tanskanen, J.; Alatossava, T. Structural similarity and genetic homology between Lactobacillus casei bacteriophages isolated in Japan and in Finland. Biosci. Biotech. Biochem. 1993, 57, 2043– 2048. 15. Brandt, K.; Tilsala-Timisjarvi, A.; Alatossava, T. Phage related DNA polymorphism in dairy and probiotic Lactobacillus. Micron 2001, 32, 59 – 65. 16. Shimizu-Kadota, M.; Kiwaki, M.; Sawaki, S.; Shirasawa, Y.; Shibahara-Sone, H.; Sako, T. Insertion of bacteriophage fFSW into the chromosome of Lactobacillus casei strain Shirota (S-1): characterization of the attachment sites and the integrase gene. Gene 2000, 249, 127 – 134.

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17.

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McKay, L.L.; Cords, B.R.; Baldwin, K.A. Transduction of lactose metabolism in Streptococcus lactis C2. J. Bacteriol. 1973, 115, 810 –815. McKay, L.L.; Baldwin, K.A. Simultaneous loss of proteinase utilizing and lactose-utilizing enzyme-activities in Streptococcus lactis and reversal of loss by transduction. Appl. Microbiol. 1974, 28, 342–346. Snook, R.J.; McKay, L.L.; Ahlstrand, G.G. Transduction of lactose metabolism by Streptococcus cremoris c- 3 temperate phage. Appl. Environ. Microbiol. 1981, 42, 897 – 903. Allen, L.K.; Elliker, P.R.; Sandine, W.E. Transduction in Streptococcus lactis. J. Dairy Res. 1963, 30, 351– 357. Molsknes, T.A.; Sandine, W.E.; Brown, L.R. Characterization of Lac þ transductants of Streptococcus lactis. Appl. Microbiol. 1974, 28, 753 – 758. Maeda, S.; Gasson, M.J. Cloning, expression and location of the Streptococcus lactis gene for phospho-beta-D-galactosidase. J. Gen. Microbiol. 1986, 132, 331 – 340. Raya, R.R.; Kleeman, E.G.; Luchansky, J.B.; Klaenhammer, T.R. Characterization of the temperate bacteriophage fadh and plasmid transduction in Lactobacillus acidophilus ADH. Appl. Environ. Microbiol. 1989, 55, 2206– 2213. Mercenier, A.; Slos, P.; Faelen, M.; Lecocq, J.P. Plasmid transduction in Streptococcus thermophilus. Mol. Gen. Genet. 1988, 212, 386 – 389. Heller, K.J.; Geis, A.; Neve, H. Behaviour of genetically modified microorganisms in yoghurt. System Appl. Microbiol. 1996, 18, 504 – 509. Birkeland, N.K.; Holo, H. Transduction of a plasmid carrying the cohesive end region from Lactococcus lactis bacteriophage fLC3. Appl. Environ. Microbiol. 1993, 59, 1966 – 1968. Chandry, P.S.; Moore, S.C.; Davidson, B.E.; Hillier, A.J. Transduction of concatemeric plasmids containing the cos site of Lactococcus lactis bacteriophage sk1. FEMS Microbiol. Lett. 2002, 216, 85– 90. Raya, R.R.; Klaenhammer, T.R. High-frequency plasmid transduction by Lactobacillus gasseri bacteriophage fadh. Appl. Environ. Microbiol. 1992, 58, 187 – 193. Koch, B.; Christiansen, B.; Evison, T.; Vogensen, F.K.; Hammer, K. Construction of specific erythromycin resistance mutations in the temperate lactococcal bacteriophage TP901-1 and their use in studies of phage biology. Appl. Environ. Microbiol. 1997, 63, 2439– 2441. Chopin, M.C.; Chopin, A.; Rouault, A.; Galleron, N. Insertion and amplification of foreign genes in the Lactococcus lactis subsp. lactis chromosome. Appl. Environ. Microbiol. 1989, 55, 1769– 1774. Lillehaug, D.; Nes, I.F.; Birkeland, N.K. A highly efficient and stable system for site-specific integration of genes and plasmids into the phage fLC3 attachment site (attB) of the Lactococcus lactis chromosome. Gene 1997, 188, 129 – 136. van de Guchte, M.; Daly, C.; Fitzgerald, G.F.; Arendt, E.K. Bacteriophage Tuc2009 and their use for site-specific plasmid integration in the chromosome of Tuc2009-resistant Lactococcus lactis-MG1363. Appl. Environ. Microbiol. 1994, 60, 2324– 2329. Raya, R.R.; Fremaux, C.; Deantoni, G.L.; Klaenhammer, T.R. Site-specific integration of the temperate bacteriophage fadh into the Lactobacillus gasseri chromosome and molecular characterization of the phage (attP) and bacterial (attB) attachment sites. J. Bacteriol. 1992, 174, 5584–5592. Fremaux, C.; Deantoni, G.L.; Raya, R.R.; Klaenhammer, T.R. Genetic organization and sequence of the region encoding integrative functions from Lactobacillus gasseri temperate bacteriophage fadh. Gene 1993, 126, 61 – 66. Campbell, A.M. Episomes. Adv. Genet. 1962, 11, 101 – 145. Auvray, F.; Coddeville, M.; Ritzenthaler, P.; Dupont, L. Plasmid integration in a wide range of bacteria mediated by the integrase of Lactobacillus delbrueckii bacteriophage mv4. J. Bacteriol. 1997, 179, 1837–1845.

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367. 368. 369.

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Stoll, S.M.; Ginsburg, D.S.; Calos, M.P. Phage TP901-1 site-specific integrase functions in human cells. J. Bacteriol. 2002, 184, 3657– 3663. Auvray, F.; Coddeville, M.; Espagno, G.; Ritzenthaler, P. Integrative recombination of Lactobacillus delbrueckii bacteriophage mv4: functional analysis of the reaction and structure of the attP site. Mol. Gen. Genet. 1999, 262, 355 – 366. Brondsted, L.; Hammer, K. Use of the integration elements encoded by the temperate lactococcal bacteriophage TP901-1 to obtain chromosomal single-copy transcriptional fusions in Lactococcus lactis. Appl. Environ. Microbiol. 1999, 65, 752 –758. Martin, M.C.; Alonso, J.C.; Suarez, J.E.; Alvarez, M.A. Generation of food-grade recombinant lactic acid bacterium strains by site-specific recombination. Appl. Environ. Microbiol. 2000, 66, 2599– 2604. Nauta, A.; vandenBurg, B.; Karsens, H.; Venema, G.; Kok, J. Design of thermolabile bacteriophage repressor mutants by comparative molecular modeling. Nature Biotechnol. 1997, 15, 980–983. Binishofer, B.; Moll, I.; Henrich, B.; Bla¨si, U. Inducible promoter-repressor system from the Lactobacillus casei phage fFSW. Appl. Environ. Microbiol. 2002, 68, 4132– 4135. Husson-Kao, C.; Mengaud, J.; Cesselin, B.; van Sinderen, D.; Benbadis, L.; Chapot-Chartier, M.P. The Streptococcus thermophilus autolytic phenotype results from a leaky prophage. Appl. Environ. Microbiol. 2000, 66, 558 –565. O’Sullivan, D.; Ross, R.P.; Fitzgerald, G.F.; Coffey, A. Investigation of the relationship between lysogeny and lysis of Lactococcus lactis in cheese using prophage-targeted PCR. Appl. Environ. Microbiol. 2000, 66, 2192–2198. Lepeuple, A.S.; Vassal, L.; Cesselin, B.; Delacroix-Buchet, A.; Gripon, J.C.; ChapotChartier, M.P. Involvement of a prophage in the lysis of Lactococcus lactis subsp. cremoris AM2 during cheese ripening. Int. Dairy J. 1998, 8, 667 – 674. Shearman, C.; Underwood, H.; Jury, K.; Gasson, M. Cloning and DNA sequence analysis of a Lactococcus bacteriophage lysin gene. Mol. Gen. Genet. 1989, 218, 214 – 221. Shearman, C.A.; Jury, K.; Gasson, M.J. Autolytic Lactococcus lactis expressing a lactococcal bacteriophage lysin gene. Bio-Technol. 1992, 10, 196 –199. Sanders, J.W.; Venema, G.; Kok, J. A chloride-inducible gene expression cassette and its use in induced lysis of Lactococcus lactis. Appl. Environ. Microbiol. 1997, 63, 4877– 4882. de Ruyter, P.G.; Kuipers, O.P.; Meijer, W.C.; De Vos, W.M. Food-grade controlled lysis of Lactococcus lactis for accelerated cheese ripening. Nat. Biotechnol. 1997, 15, 976 – 979. Walker, S.A.; Klaenhammer, T.R. Leaky Lactococcus cultures that externalize enzymes and antigens independently of culture lysis and secretion and export pathways. Appl. Environ. Microbiol. 2001, 67, 251– 259. Vasala, A.; Valkkila, M.; Caldentey, J.; Alatossava, T. Genetic and biochemical characterization of the Lactobacillus delbrueckii subsp lactis bacteriophage LL-H Lysin. Appl. Environ. Microbiol. 1995, 61, 4004– 4011. Vasala, A.; Isoma¨ki, R.; Perttunen, J.; Myllykoski, L.; Alatossava, T. Purification of Lactobacillus phage LL-H muramidase by expanded-bed adsorption chromatography. Recent Res. Dev. Agric. Biol. Chem. 1998, 2, 387 – 394. Vasala, A.; Isoma¨ki, R.; Myllykoski, L.; Alatossava, T. Thymol-triggered lysis of Escherichia coli expressing Lactobacillus phage LL-H muramidase. J. Indust. Microbiol. Bio. Technol. 1999, 22, 39–43. Watanabe, K.; Kakita, Y.; Nakashima, Y.; Sasaki, T. Protoplast transfection of Lactobacillus casei by phage PL-1 DNA. Agric. Biol. Chem. 1990, 54, 937 –941. Watanabe, K.; Hayashida, M.; Nakashima, Y.; Hayashi, S. Preparation and regeneration of bacteriophage-PL-1 enzyme-induced Lactobacillus casei protoplasts. Appl. Environ. Microbiol. 1987, 53, 2686– 2688.

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O’Sullivan, D.J.; Walker, S.A.; West, S.G.; Klaenhammer, T.R. Development of an expression strategy using a lytic phage to trigger explosive plasmid amplification and gene expression. Bio-Technol. 1996, 14, 82 –87.

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9 Mathematical Modeling of Intestinal Bacteria – Host Interactions YUAN-KUN LEE National University of Singapore, Singapore

I.

INTRODUCTION

The beneficial effects of probiotics arise from the interactions between the probiotic bacteria, the host tissue, and the pathogens. Competitive exclusion of pathogens and immuno-modulation may involve interaction between the adhesins on the bacterial surface and the adhesion sites (in hydrophobic interaction) or specific receptors (in ligand-receptor interaction) on the host cells.[1] This interaction is a dynamic process, and appropriate interpretation of the kinetics would yield useful insight into the adhesion mechanisms for the development of strategies to maximize probiotic effects for specific applications.

II.

MATHEMATICAL MODELING

A.

Adhesion Kinetics

The displacement and exclusion of pathogens from the intestinal tract in human and animal models[2] suggest that the adhesion of bacterial cells on intestinal mucosal surface is a reversible process. In vitro studies by incubating bacterial cells with cell lines, mucin glycoprotein, and tissues have demonstrated that adhesion of bacterial cells on the intestinal surface at equilibrium is bacterial strain and cell density dependent.[3 – 5] Fig. 1 shows a hyperbolic relationship between the concentration of adhered bacterial cells and the time of incubation with the bacteria suspension. The bound bacterial concentration at equilibrium was a function of the bacterial concentration in the suspension, clearly demonstrating that the adhesion of bacteria on the intestinal surface is a reversible and dynamic 351 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Figure 1

Plots of the concentrations of bound Lactobacillus rhamnosus on enterocyte-like Caco-2 cells measured at various time of incubation. The data show that the equilibrium concentrations of bound bacteria determined at 1.5 h incubation was a function of the bacterial concentration in suspension (between 1.78 and 7.10  107 cells/mL).

process. In an irreversible adhesion kinetic, all receptors on the intestinal surface will eventually be bound and the equilibrium adhesion concentration is independent of the bacterial density in the suspension (Fig. 2). In such a case, the turnover of bacterial cells on the intestinal surface depends on the turnover of the mucosal layer and recolonization of newly exposed surface. The hyperbolic relationship shown in Fig. 1 suggests that the adhesion process of bacterial cells on intestinal surface receptors is a simple dissociation kinetic. The Langmuir adsorption isotherm,[6,7] Scatchard,[8,9] and Michaelis-Menten–type dissociation kinetic models[4] have been used to describe adhesion kinetics: 1.

Langmuir equation (Fig. 3): X=ex ¼ 1=(K
em ) þ X=em or 1=ex ¼ 1=(K
X
em ) þ 1=em

Figure 2

In an irreversible adhesion kinetic, all receptors on a surface will eventually be bound and the equilibrium adhesion concentration of bacteria is independent of the bacterial concentration in the suspension.

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Plot of the Langmuir equation: x ¼ added cell concentration; ex ¼ bound cell concentration; em ¼ maximum bound cell concentration (numerically equal to the concentration of receptors); K ¼ kinetic constant.

Figure 3

where X ¼ added cell concentration ex ¼ bound cell concentration em ¼ maximum bound cell concentration (numerically equal to the concentration of receptors) K ¼ kinetic constant 2.

Scatchard equation (Fig. 4): ex =X ¼ K
em  K
ex

3.

Dissociation kinetic model (Fig. 5) 1=ex ¼ 1=em þ K=(em
X)

These physiological models allow the incorporation of physiological parameters in the kinetic models. The working principles and derivations of the last dissociation kinetic model will be discussed in detail in this chapter.

Plot of the Scatchard equation: x ¼ added cell concentration; ex ¼ bound cell concentration; em ¼ maximum bound cell concentration (numerically equal to the concentration of receptors); K ¼ kinetic constant.

Figure 4

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Plot of simple dissociation kinetic: x ¼ added cell concentration; ex ¼ bound cell concentration; em ¼ maximum bound cell concentration (numerically equal to the concentration of receptors); K ¼ kinetic constant.

Figure 5

In a process of simple dissociation involving bacteria and the intestinal surface (which includes the mucus layer and the epithelial cells): Kþ1

Bacterial cell þ Intestinal cell

!  Bacterium–Intestinal cell complex K1

where K þ 1 and K 2 1 represent the association and dissociation constants of the reaction, respectively. The process is similar to the interaction between a substrate and the receptor on an enzyme that forms a substrate-enzyme complex, but without the subsequent formation of products. There are two assumptions in the relationship: 1.

2.

It is assumed that the interaction between the bacterial cells and the intestinal cells or mucus remains in equilibrium. This condition should be achieved if the bacterial cells do not penetrate the intestinal cells. It is also assumed that the concentration of the bacterial culture remained essentially unchanged throughout the study, so that the concentration of the bacterial culture can be considered equal to the initial bacterial concentration. This condition could be achieved when the total number of bacterial cells is much greater than the number of bacterial cells adhering to the intestinal cells. This is usually the case in most of the adhesion studies, where the concentration of the bacterial cells added is in the range of 105 –108 per mL, whereas that of the intestinal cell culture (e.g., Caco-2 cells) is about 102 per mL, and the number of bacterial cells adhering to the Caco-2 cells fewer than 10 per cell. In the intestinal tract, the initial concentration of the bacterial cells (probiotics) after their intake is maintained for a period of time. After that, the luminal bacterial cells are washed out by food and drink. The local concentration of a bacterium around a receptor site is determined by the rate of cell division of those adhered onto the mucosal surface.

In the simple dissociation equation described above, if X is the concentration of the bacterial culture added, e is the initial epithelial cell or mucus concentration, and ex is the concentration of the bacterium-intestinal cell-mucus complex, then the concentration of free epithelial cells or mucus will be (e 2 ex).

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355

Hoang-Dung TRAN and friends Because the process is in equilibrium, the dissociation constant for the process (Kx) can be defined as:

Kx ¼ (K  1)=(K þ 1) ¼ (e  ex )
X=ex This equation can be rearranged to give an expression for the concentration of the bacterium – intestinal cell –mucus complex: ex ¼ e
X=(Kx þ X) When X is very much larger than Kx , the intestinal cells or mucus is saturated with bacteria (i.e., ex approaches e) and the maximum value of ex , em is obtained. As it is technically easier to estimate the maximum concentration of adhered bacterial cells (em) than the epithelial cell/mucus concentration (e), the equation could thus be re-written as: ex ¼ em
X=(Kx þ X)

(1)

The equation could be further rearranged to give a linear relationship: 1=ex ¼ 1=em þ Kx =(em
X)

(2)

Hence, plots of 1/ex against 1/X give straight lines (Fig. 6), in which the intercepts on the ordinate give the values of 1/em and those on the abscissa give the values of 21/Kx (Table 1). The values of ex and Kx are independent of each other, i.e., a bacterium that

Figure 6

Double reciprocal representation of the adhesion of Lactobacillus rhamnosus GG and Escherichia coli TG1 to immobilized human intestinal mucus. The lines indicate the linear fit according to the least-squares method.

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Table 1

Maximum Concentration of Bound Bacterial Cells on Enterocyte-Like Caco-2 Cells (em) and the Kinetic Constant of the Adhesion Process (kx). Strain L. rhamnosus GG E. coli TG1

em (cells/100 Caco-2 cells)

kx (cells/mL)

1613 500

2.08  108 4.76  108

Values were calculated from Eq. (2) based on data presented in Fig. 6.

adheres on the intestinal surface in large numbers could have a low affinity for the intestinal surface receptors and vice versa. This has two practical implications: 1.

2.

The readout from a single point (using only one bacterial cell concentration) evaluation of the adhesiveness of a bacterium on the intestinal surface is determined by the bacterial cell concentration tested. In the case demonstrated in Fig. 7, probiotic strain A has lower Kx value but higher em value than probiotic strain B. At bacterial cell concentration 1 (as shown on the x-axis), strain B showed higher adhesiveness than stain A, but at concentration 2 the reverse was observed. In the intestinal environment when strain A or B was first given to a human subject, larger numbers of strain A would be found on the surface of the intestinal tract than of strain B, because the saturating bacterial cell concentration was near point 2 in Fig. 7. As time went on, the luminal bacterial concentration was diluted by food and water consumed. In this case, strain A was washed out from the intestinal surface at a faster rate than strain B, because strain B had a higher affinity for the intestinal surface receptors and did not detach as readily as strain A. The selection of the appropriate probiotic strains would depend on the intended probiotic effects. For example, for short-term flooding of the intestinal surface with a high concentration of probiotic bacterial cells to exclude or displace pathogens, A-type probiotic strains are desirable. If the desired effect is longer adhesion of the probiotic bacterial cells on the intestinal surface to induce immunological responses, B-type probiotic strains would be the better choice. A question often touched on in the study of adhesion of bacteria to the intestinal surface is whether a nonsaturating or saturating concentration of the bacteria should

Figure 7

Correlation between the concentration of bound bacterium A and B and the concentration of the respective bacterium in suspension. Bacterium A shows higher adhesion affinity for the surface but lower maximum adhesion concentration than bacterium B.

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Hoang-Dung TRAN and friends be used. The two approaches in fact yield different information. Nonsaturating bacterial cell concentrations largely reflect the affinity for the receptors, whereas saturating bacterial concentrations reflect the concentration of the receptors on the intestinal surface.

B.

Competition for Adhesion

When two types of bacteria are present and compete for the same receptors or adhesion sites (through steric hindrance of cells in close vicinity) on the intestinal surface, the competition for adhesion of each bacterial type is determined by the affinity of the bacteria to the intestinal surface (Kx) and the concentration of the bacterial cells (X). Thus, the ratio of ex for bacterium 1 and bacterium 2 in the mixed bacterial system can be described as: ex1 =ex2 ¼ (em1 =em2 )
(X1 =X2 )
½(Kx2 þ X2 )=(Kx1 þ X1 )

(3)

The relationship was verified in a study on the competition between Lactobacillus rhamnosus GG and Escherichia coli TG1 for adhesion on enterocyte-like Caco-2 cells (Table 2).[4] The relationship in Eq. (3) suggests that the outcome of competition between two bacteria for adhesion to the same receptors on the mucosal surface is determined by the ratio of the respective bacterial concentration around the receptors and the affinity of the respective bacterium for the receptors. High bacterial cell concentration would ensure frequent encounter between the bacterial cells and the receptors, thus a high chance for the bacterium to adhere onto the receptor sites. Such a bacterium would need to grow and divide rapidly in the intestinal environment in order to maintain a sufficiently high local cell concentration after the external (oral) supply has stopped. A bacterial cell that has a high affinity for the receptor will not dissociate readily enough to be replaced by another bacterial cell. Thus, one may select for a probiotic bacterium with very high affinity for the intestinal receptors to prevent from being outcompeted by other bacteria and washed out from the intestine. However, such as bacterium would not be released readily from the dislodged mucosal layer and would be discharged as fecal material.

Table 2

Competition for Adhesion of L. rhamnosus GG and E. coli TG1 on Caco-2 Cells in a Mixed Suspension of the Two Bacteria L. rhamnosus added (cells/mL)

Observed eE/eL Predicted eE/eL

1.0  108

2.0  108

3.0  108

0.128 0.166

0.074 0.071

0.038 0.041

eE ¼ Concentration of adhered E. coli TG1 on 100 Caco-2 cells; eL ¼ Concentration of adhered L . rhamnosus GG on 100 Caco-2 cells. The predicted values of eE/eL were calculated from Eq. (3).

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C.

Heterogeneity of Receptors and Adhesins

Heterogeneity in the adhesin-receptor interaction is expected due to the minor differences among the many receptors on intestinal surface and adhesins on a bacterial cell. The adhesion kinetics could still be described by Eq. (2), with the ratio of the different adhesin-receptor interactions determined by Eq. (3). In this case, the overall affinity of the interactions is the weighted average, as follow: Kx ¼ (ex1 =ex )
kx1 þ (ex2 =ex )
kx2 where: ex ¼ ex1 þ ex2 ex1/ex2 ¼ (X1/X2) . [(kx2 þ X2)/(kx1 þ X1)] em1 ¼ em2 However, bacterial cells with lower affinity for the receptors will be washed out (detached) faster than those that have higher affinities. In a study where adhered E. coli cells were subjected to a continuous flow of nutrient, a precipitous drop in the number of adhering bacteria was first observed, followed by a more gentle decrease in the number of surface-adhering bacteria.[10] This was attributed to two types of adhesion sites for the E. coli mediating weak or strong adhesion, respectively.

D.

Deviations from the Simple Dissociation Kinetic

1.

Cooperative Effect

If binding of a bacterium on the mucosal surface changes the affinity for the subsequent bacteria binding (either on the same or adjacent intestinal cells or mucus surface), a cooperative effect (negative cooperative if the binding affinity decreases and positive if the affinity increases) is observed. This could be due to the modification of the physical configuration of the neighboring receptor after a bacterium is bound onto the first receptor site; it could also be due to auto-adhesion of adjacent bound bacteria. The plots of 1/ex vs. 1/X would appear as curves (Fig. 8). The cooperative effect could be modeled by means

Kinetics of cooperative effects on the adhesion of bacteria on a surface: x ¼ added cell concentration; ex ¼ bound cell concentration.

Figure 8

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Hoang-Dung TRAN and friends

of the Hill equation. kh

n number of bacteria þ Intestinal cell n
X (e  eXn )

!  Bacteria–Intestinal cell complex eXn

The Hill constant, kh ¼ (e  eXn )
(xn )=(eXn ), where e ¼ (kh
eXn =Xn ) þ (eXn ). At equilibrium, eXn =eXm ¼ eXn =e, where eXm is the maximum concentration of bacteria– intestinal cell complex: eXn ¼ eXm
eXn =e ¼ eXm
eXn
½Xn =(kh
eXn þ Xn
eXn ) ¼ eXm
½Xn =(kh þ Xn ) eXn
kh þ eXn
Xn ¼ eXm
Xn eXn
kh ¼ eXm  eXn
Xn ¼ Xn
(eXm  eXn ) ½eXn =(eXm  eXn ) ¼ Xn =kh Thus, log½eXn =(eXm  eXn ) ¼ n
log X  log kh The values of eXn and eXm could be determined experimentally by varying the concentration of X. The plot of log[eXn/(eXm 2 eXn)] vs. log X would yield a linear relation with the slope numerically equal to n, and the intercept on the x-axis log kh (Fig. 9). Note that autoadhesion of probiotics may show a pseudo-positive cooperative effect. There are reports that some probiotic bacterial cells could adhere to each other and form aggregates.[11,12] Assuming that a bacterial cell could bind to two other bacterial cells, thus binding a bacterial cell (either to the mucosal receptor or to the bound bacterial cell), would lead to binding of two more bacterial cells, giving the impression that binding of a bacterial cell results in the exponentially increased number of bacterial cells that could bind onto the mucosal surface. In such a case, an infinite number of bacterial

Figure 9

Plot of Hill equation for cooperative effect in the adhesion of bacteria on a surface: x ¼ added cell concentration; eXn ¼ bound cell concentration; eXm ¼ maximum bound cell concentration (numerically equal the concentration of receptors); Kh ¼ Hill constant; n ¼ number of receptors on the surface.

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Hoang-Dung TRAN and friends cells could bind onto the mucosal receptors, and the plot of log[eXn/(eXm 2 eXn)] vs. log X approaches a near-vertical slope.

2.

Alternative Adhesion Interactions

Unrelated adhesins and hydrophobic surfaces can be found on the same bacterial cell. For example, both mannose-sensitive adhesin and hydrophobic adhesive surface are present on the surface of lactobacilli.[13] The two independent sets of adhesion interactions could be described as: ex ¼ em1
½X=(kx1 þ X) þ em2
½X=(kx2 þ X) em ¼ em1 þ em2 The mannose-sensitive adhesins could be masked by the inclusion of sugars. In a study on Lactobacillus casei Shirota, the affinity of the adhesins for mannose-mediated receptors on enterocyte-like Caco-2 cells was found to be 2.6 times that of the hydrophobic surface interaction between the bacterium and Caco-2 cells.[13] It was found that em1 ¼ ex ¼ em2 , suggesting that the adhesins and the hydrophobic surfaces on L . casei Shirita are in close proximity and have the same number of adhesion sites. For example, the adhesin is located at the tip of a fimbria, whereas the stalk of the fimbria is hydrophobic. In this case, ex ¼ em
½X=(kx1 þ X) or em
½X=(kx2 þ X), whichever is higher: em1 ¼ ex ¼ em2 . 3.

Binding of a Bacterial Cell to Multiple Receptors

More than one adhesin or adhesive surface on a bacterial cell may bind onto the adjacent receptor sites at the same time. The size (surface area) of bacterial cells has been shown to correlate to their adhesion property.[14] When adhesion of a bacterial cell on the intestinal mucosal surface involves more than one adhesion receptor, it is envisaged that the kinetic constants determined at high and low cell concentrations would be different. At low bacterial cell concentration, the adhesion of a bacterial cell on the intestinal surface involves the maximum number of adhesion receptors (Fig. 10). At high bacterial cell concentration, there is self-competition for adhesion and the minimum number of receptors is involved. Thus, in the plot of 1/ex vs. 1/X, two linear plots are expected at high and low bacterial concentrations, with a curve between, representing the involvement of various numbers of receptors. In a study on the adhesion of L . casei Shirot on human intestinal mucus layer, two straight lines were observed in the plot of 1/ex vs. 1/X (Fig. 11).[4] The higher dissociation constant (kx ¼ 9.47  107 cells/mL) measured at high Lactobacillus concen-

Figure 10

Schematic representation of adhesion of bacterial cells at high and low concentrations on an intestinal surface.

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Hoang-Dung TRAN and friends

Figure 11

Double reciprocal representation of the adhesion of Lactobacillus casei strain Shirota to immobilized human intestinal mucus. The lines indicate the linear fit according to the leastsquares method.

trations compared to that observed at low cell cencentrations (kx ¼ 6.10  106 cells/mL) is likely to be due to the fourfold lower number of receptors (5  104/20  104 cells/ well) involved. This suggests that the optimal concentration of L . caeei Shirota for competitive exclusion of a pathogen competing for the same receptors would be the concentration that allows the binding of the maximum number of adhesins on a bacterial cell. A relatively low concentration of the probiotic lactobacilli could occupy all the receptor sites on the intestinal mucosal surface, and the affinity for the receptors is the highest.

E.

Colonization on the Intestinal Mucosal Surface

No probiotics used in clinical trials and commercial production have been shown to persist in fecal samples for more than a few weeks after their administration ceased.[15 – 18] This effect is termed colonization resistance. The ability of exogenously administered probiotics to adhere to the intestinal surface and multiply in the intestinal tract has been questioned.[19] Other reports on the recovery of lactobacilli from human colonic biopsies after discontinuation of probiotic administration[20 – 22] provide direct evidence that probiotic lactobacilli are able to temporary colonize colonic mucosae. These probiotic lactobacilli were selected for their high adhesiveness to the mucosal surface, fast growth rate, and acid and bile tolerance. Despite their demonstrated ability to displace indigenous bacteria and colonize the intestinal surface temporarily when first administered,[2] they are not able to colonize the intestinal surface permanently. Prolonged adhesion and colonization of probiotic bacteria on the intestinal mucosal surface could favour probiotic effects. The process of washing out of an adhered bacterium from the intestinal mucosal surface can be described by the following relationship: Washout rate ¼ Specific growth rate  Dilution rate

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Hoang-Dung TRAN and friends The effective dilution rate is the balance between the rate of dilution of intestinal water overlying the mucosal surface by water and food consumed and the ability of the bacterium to withstand its removal from the mucosal surface. In order to persist on the mucosal surface (i.e., washout rate ¼ 0), the bacterium would need to grow and divide at an average specific growth rate that equals the effective dilution rate. In a mouse model it was estimated that in order to permanently colonize the duodenum, jejunum, ileum, and colon, L . casei Shirota would need to attain a doubling time of 2.04, 1.17, 1.03 and 1.72 days, respectively, in the various sections of the intestine.[24] The doubling time of L . casaei Shirota in mouse duodenum, jejunum, ileum, and colon was 4.10, 4.78, 4.56, and 5.59 days, respectively. This study suggests that besides direct competition between intestinal bacteria for adhesion, the rates of growth and division determine the ability of probiotics to colonize and persist on the intestinal surface. The high concentration of probiotic bacteria at the time of consumption increases their chance of gaining a foothold on the intestinal surface. The rate of cell division determines the local bacterial cell concentration that allows the bacteria to persist on the intestinal surface. An adhered bacterium that is unable to divide under the intestinal conditions would be displaced by neighboring dividing indigenous bacteria, which are present in large concentrations around the receptor, according to Eq. (3).

III.

CONCLUSION

Appropriate construction of mathematical models for microbe-host interactions demands identification of the key parameters involved. This helps in the design of experimental studies to verify their involvement and in the quantitative evaluation of their impact. Verification of mathematical models has yielded valuable insights into adhesion mechanisms.

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Salminen, S.; Bouley, M.C.; Boutron-Rualt, M.C.; Cummings, J.; Franck, A.; Gibson, G.; Isolauri, E.; Moreau, M-C.; Roberfroid, M.; Rowland, I. Functional food science and gastrointestinal physiology and function. Br. J. Nutr. 1998, 1 (suppl.), 147 – 171. 2. Lee, Y.K.; Nomoto, K.; Salminen, S.; Gorbach, S.L. Handbook of Probiotics; John Wiley & Sons: New York, 1999. 3. Jin, L.Z.; Marquardt, R.R.; Zhao, X. A strain of Enterococcus faecium (18C23) inhibits adhesion of enterotoxigenic Escherichia coli K88 to porcine small intestine mucus. Appl. Environ. Microbiol. 2000, 66, 4200– 4204. 4. Lee, Y.K.; Lim, C.Y.; Teng, W.L.; Ouwehand, A.C.; Tuomola, E.M.; Salminen, S. Quantitative approach in the study of adhesion of lactic acid bacteria to intestinal cells and their competition with enterobacteria. Appl. Environ. Microbiol. 2000, 66, 3692 –3697. 5. Tuomola, E.M.; Salminen, S. Adhesion of some probiotic and dairy Lactobacillus strains to Caco-2 cell cultures. Int. J. Food Microbial. 1998, 41, 45 – 51. 6. Doyle, R.J.; Oakley, J.D.; Murphy, K.R.; McAlister, D.; Taylor, K.G. Graphical analyses of adherence data. In Molecular Basis of Oral Microbial Adhesion; Mergenhagen, S.E., Rosan, B., Eds.; American Society for Microbiology: Washington DC, 1985; 109 –113. 7. Rosan, B.; Eifert, R.; Golub, E. Bacterial surfaces, salivary pellicles and plaque formation. In Molecular Basis of Oral Microbial Adhesion; Mergenhagen, S.E., Rosan, B., Eds.; American Society for Microbiology: Washington DC, 1985; 69 – 76.

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9. 10. 11. 12. 13. 14.

15. 16.

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Liljemark, W.F.; Bloomquist, C.G.; Fenver, L.J. Characteristics of the adherence of oral Hemophilius species to an experimental salivary pellicle and to other oral bacteria. In Molecular Basis of Oral Microbial Adhesion Mergenhagen, S.E., Rosan, B., Eds.; American Society for Microbiology: Washington DC, 1985; 94 – 102. Nesbitt, W.E.; Doyle, R.J.; Taylor, K.G.; Staat, R.H.; Arnold, R.R. Positive cooperativity in the binding of Streptococcus sanguis to hydroxylapatite. Infect. Immun. 1982, 35, 47 – 165. Freter, R. Mechanisms that control the microflora of the large intestine. In Human Intestinal Flora in Health and Disease; Hentges, D., Ed.; Academic Press: New York, 1983; 33 –54. Kmet, V.; Callegari, M.L.; Bottazzi, V.; Morelli, L. Aggregation-promoting factor in pig intestinal Lactobacillus strains. Lett. Appl. Microbiol. 1995, 21, 351 –353. Ross, S.; Lindgren, S.; Jonsson, H. Autoaggregation of Lactobacillus reuteri is mediated by a putative DEAD-box helicase. Mol. Microbiol. 1999, 32, 427 –436. Lee, Y.K.; Puong, K.Y. Competition for adhesion between probiotics and human gastrointestinal pathogens in the presence of carbohydrate. Br. J. Nutr. 2002, 88 suppl. 1, 101 – 108. Panagoda, G.J.; Samaranayake, L.P. The relationship between the cell length, adhesion to acrylic and relative cell surface hydrophobicity of Candida parapsilosis. Med. Mycol. 1998, 36, 373– 378. Goldin, B.R.; Gorbach, S.L.; Saxelin, S.B.; Gualtieri, L.; Salminen, S. Survival of Lactobacillus species (strain GG) in human gastrointestinal tract. Dig. Dis. Sci. 1992, 37, 121–128. Jacobsen, C.N.; Nielsen, V.R.; Hayford, A.E.; Moller, P.L.; Michaelsen, K.F.; Paerregaard, A.; Sandstrom, B.; Tvede, M.; Jakobsen, M. Screening of probiotic activities of forty-seven strains of Lactobacillus spp. by in vitro techniques and evaluation of the colonisation ability of five selected strains in humans. Appl. Environ. Microbiol. 1999, 65, 4949–4956. Saxelin, M. Lactobacillus GG— a human probiotic strain with thorough clinical documentation. Food Rev. Int. 1997, 13, 293– 313. Spanhaak, S.; Havenaar, R.; Schaafsma, G. The effect of consumption of milk fermented by Lactobacillus casei strain Shirota on the intestina microflora and immune parameters in humans. Eur. J. Clinical. Nutr. 1998, 52, 899 – 907. Bezkorovainy, A. Probiotics: determinants of survival and growth in the gut. Am. J. Clin. Nutr. 2001, 73, 399S– 405S. Alander, M.; Satokari, R.; Korpela Saxelin, R.M.; Vilpponen-Salmela, T.; Mattila-Sandholm, T.; von Wright, A. Persistence of colonization of human colonic mucosa by a probiotic strain, Lactobacillus rhamnosus GG, after oral consumption. Appl. Environm. Microbiol. 1999, 65, 351–354. Cesena, C.; Morelli, L.; Alander, M.; Siljander, T.; Tuomola, E.; Salminen, S.; Mattila-Sandholm, T.; Vilpponen-Sslmela, T.; von Wright, A. Lactobacillus crispatus and its nonaggregating mutant in human colonization trials. J. Dairy Sci. 2001, 84, 1001–1010. Lyons, A.B. Analysing cell division in vivo and in vitro using flow cytometric measurement of CFSE dye dilution. J. Immunol. Meth. 2000, 243, 147 – 154. Lee, Y.K.; Ho, P.S.; Low, C.S.; Arvilommi, H.; Salminen, S. Permanent colonization by Lactobacillus is hindered by the slow rate of cell division in the mouse gut. Appl. Env. Microbiol. 2004, 70, 670– 674.

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Hoang-Dung TRAN and friends

10 Methods of Analyzing Gut Microbiota MIGUEL GUEIMONDE and SEPPO SALMINEN University of Turku, Turku, Finland

I.

INTRODUCTION

The human gastrointestinal tract harbors a complex collection of microorganisms, which form a specific individual microbiota for each person. This specific microbiota is dependent on the environment and genetic factors. The total number of microbes in the intestinal tract can be estimated at 1012 bacteria/g of intestinal contents. Several hundred bacterial species can be identified using traditional culture methods. The use of molecular methods has increased the number of bacteria in the intestinal mucosa and intestinal contents and also changed our understanding of the composition of the intestinal microbiota. The microbiota is metabolically active, and its composition is related to many disease states within and outside the intestine. The intestinal microbiota provides the most important contact with the environment for the host and a barrier against harmful food components and pathogenic bacteria.[1 – 3] The intestinal microbiota has also been shown to have a direct impact on the morphology of the gut.[4] Therefore, the intestinal microbiota is an important factor for the health and well-being of the human host. Many diseases and their prevention can be linked to intestinal microbiota. The healthy microbiota may also be considered a good source of future probiotics.

II.

DEVELOPMENT OF INTESTINAL MICROBIOTA

The basis of healthy gut microbiota lies in early infancy and initial development of intestinal colonization. The generation of immunophysiological regulation in the gut also depends on the establishment of indigenous microbiota. The microbiota of a newborn develops rapidly after birth and is initially strongly dependent on the mother’s microbiota, 365

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Hoang-Dung TRAN and friends mode of delivery, and birth environment and is subsequently influenced by infant feeding practices and the environment of the child. Most microbiota succession studies have been based on culture method studies. Recent molecular studies have indicated that the microbiota in infants develops rapidly during the first week and remains relatively unstable for the first year of life, with changes occurring during breast feeding, weaning, and introduction of solid foods. Thus, healthy microbiota can be defined as the normal individual microbiota of a child that both preserves and promotes well-being and absence of disease, especially in the gastrointestinal tract. Healthy microbiota also provides the first step in the long-term well-being later in life, and the basis for this development lies in early infancy. Later in life the microbiota forms a barrier between the human host and the environment, providing the host resistance towards pathogenic bacteria and other harmful components in the environment. In adults the microbiota appears to be relatively stable, but among the elderly the microbiota approaches a state observed in infants and variations may be linked to ageing and specific diseases.

III.

IMPORTANCE OF UNDERSTANDING INTESTINAL MICROBIOTA

It is obvious that understanding the cross talk that occurs between intestinal microbiota and its host promises to expand our views about the relationship between intestinal microbiota and health. There is also an increasing amount of information indicating that specific aberrations in intestinal microbiota may make us more vulnerable to intestinal inflammatory diseases and other diseases beyond the intestinal environment. It is likely that some aberrations even predispose us to specific diseases. Unfortunately, we are still far from knowing the qualitative and quantitative composition of the intestinal microbiota and which factors govern its composition in an individual. Several different methodologies could be used and further developed for intestinal microbiota assessment, categorized as either culture-dependent or culture-independent procedures. IV.

CURRENT METHODOLOGIES FOR MICROBIOTA ASSESSMENT

A.

Culture-Dependent Techniques

1.

Culture in Selective-Differential Media

The study of intestinal microbiota, both qualitative and quantitative, has been carried out mainly by means of culture in different selective and differential media of fecal microbiota as a measure of the bacterial contents in the colon. The classical method involves culturing fecal samples on suitable growth media. The sample is diluted, plated on a specific media, and the bacterial counts determined after incubation in the appropriate conditions. Bacterial strains can be isolated from these plates for further study or characterization. Usually isolated strains were identified by means of their phenotypic characteristics, mainly carbohydrate fermentation profiles, leading to numerous misidentifications. The development of genetic methods such as ribotyping, pulsed-field gel electrophoresis (PFGE), plasmid profiles, specific primers and probes for PCR and nucleic acid hybridization or 16S rRNA sequencing and sequence comparison for the identification and typing of the bacterial isolates has enhanced the identification of culturable components. Benno and Mitsuoka[1] indicated that in infants the predominant fecal organisms are bifidobacteria followed by bacteroides, clostridia, enterobacteria, and streptococci, with Bacteroides being the predominant genus in adults accompanied by a regular appearance

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Hoang-Dung TRAN and friends of Bifidobacterium.[5] Benno and Mitsuoka[1] also studied the development of intestinal microbiota from infancy to adulthood and beyond. Comparisons were made with intestinal microbiota analysis of several animal species. The fecal microbiota of adult humans is stable in composition when considered in terms of total population of obligate anaerobes (Bifidobacterium and Bacteriodes strains), but there is variability in the strain composition.[6] In general, the bifidobacterial microbiota of adults consisted mainly of strains of Bifidobacterium adolescentis; other species detected include Bifidobacterium longum, Bifidobacterium bifidum, Bifidobaterim catenulatum, and Bifidobacterium pseudocatenulatum.[5,7] In elderly people, B. longum seems to predominate, followed by B. adolescentis and B. bifidum.[8] Morelli et al.[9] reported that only a few strains of Lactobacillus are permanent or autochthonous strains, with great variability between individuals. L. reuteri, L. gasseri, and, in some cases, L. salivarius have been considered have the authentic autochthonous lactobacilli by some authors,[5] whereas others have pointed to L. acidophilus and L. crispatus.[6] Bacteroides distasonis, Bacteroides vulgatus, and Bacteriodes fragilis are the Bacteriodes species most commonly found in infants, whereas in adults Bacteriodes thetaiotaomicron predominates.[10]

2.

Culture in Nonselective Media Followed by Specific Counting or Identification

In this group could be placed techniques that do not require the use of selective media because the selective counting or identification of colonies is carried out once the microorganisms have grown and formed colonies on the plate. For example, monoclonal antibodies have been developed for selective enumeration of Bacteroides vulgatus and Bacteroides distasonis on fecal samples after dilution and plating in a nonselective medium, avoiding the use of selective agents to which part of the Bacteriodes population could be sensitive.[11] On the other hand, oligonucleotide probes have been used for the identification and quantification of intestinal microbiota by means of colony hybridization.[12,13] Several different culture-dependent techniques have been used for quantitative and qualitative characterization of human intestinal microbiota, but differences in species composition and quantitative contents can be found between the results obtained by different authors. These differences may be due to the high variability of the intestinal microbiota between individuals as well as the methods used (e.g., different culture media for the counting or isolation of strains, different methodologies used for the isolates identification). On the other hand, conventional culture-dependent methods have limitations such as low sensitivity, long duration, bias introduced due to the culture, and recovery of only culturable species of the intestinal microbiota. This can lead to the overestimation of some species and underestimation of others. Thus, new more rapid, accurate, and specific methods for the detection and quantification of intestinal bacteria are needed in order to obtain more precise knowledge about human intestinal microbiota. B.

Culture-Independent Techniques

Recent developments in molecular biology have led to the application of alternative methods in addition to traditional culture methods. These culture-independent techniques have been applied for intestinal microbiota assessment. One widely used approach employs 16S rRNA and its encoding genes as target molecules. Specific PCR primers

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Hoang-Dung TRAN and friends and probes can be designed based on the variable regions of this molecule to detect certain species or groups of bacteria. Using comparative analysis of 16S rRNA sequences amplified from human feces, Suau and coworkers[14] showed that less than 25% of the molecular species identified corresponded to known organisms, suggesting that many bacteria in the large intestine have not been described yet and that classical culture-based methods have not provided an accurate representation of this community. On the other hand, the percentages of cultivated microbiota obtained by different authors comparing counts obtained by microscopic observation and culture media range from 10 to 58%,[14,15 – 17] showing the limitations of the culture-based approaches for the study of complex communities.

1.

PCR Primers

There are now several reports on developed species or group-specific primers for the detection of different microorganisms predominant in the gastrointestinal tract.[18 – 22] 16S rDNA –targeted PCR primers enable rapid and specific detection of a wide range of bacterial species, thus procedures in which these primers are used have widespread use in intestinal microbiota assessment. Using PCR amplification with species-specific primers, Wang et al.[19] analyzed the fecal microbiota, showing that Fusobacterium prausnitzii, Peptostreptococcus productus, and Clostridium clostridiiforme had the highest PCR titers. Matsuki et al.[21] studied the bifidobacteria microbiota in fecal samples and found that in adults Bifidobacterium catenulatum and not B. adolescentis, as had been previously indicated, is the most commonly found organism, whereas B. breve, B. infantis, and B. longum are the predominant species in infants. 2.

Hybridization Probes

Several probes have been developed for the assessment of intestinal microbiota.[12,13,15,23 – 25] These probes have been used for specific culture-independent detection and quantification of different intestinal microorganisms by means fluorescent in situ hybridization[15,23 – 25] or dot blot hybridization.[26 – 28] 3.

Polymerase Chain Reaction – Enzyme Linked Immunosorbent Assay (PCR-ELISA)

This technique consists of the combination of PCR amplification with an immobilized specific probe and the use of antibodies for the detection of the hybridized amplified DNA. The amplified DNA is labeled, commonly with digoxigenin, and hybridized with a specific detection probe that is immobilized in microtiter plate wells. The presence of hybridized DNA is determined by using digoxigenin-targeted antibodies. This methodology has not been used in many studies, but has been used for the analysis of Bifidobacterium species composition in human feces during a feeding trial.[29] 4.

Sequence Analysis of Randomly Amplified 16S RNA Genes

Another procedure that has been used in intestinal microbiota research is PCR amplification of 16S rRNA genes in a sample using universal or group-specific primers followed by cloning and sequencing of the amplified DNA. By means of sequencing analysis of 16S rDNA amplicons obtained with Lactobacillus group-specific primers, Heilig and coworkers[30] showed that Lactobacillus ruminis is the predominant Lactobacillus species in fecal samples. Using primers targeted for the domain Bacteria, Suau and coworkers[14] found that the predominantly cloned sequences in fecal samples belonged to Bacteroides and

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Hoang-Dung TRAN and friends Clostridium. Surprisingly, no sequences belonging to the genus Bifidobacterium were detected, probably indicating some problems during the amplification. The number of PCR cycles can significantly distort the representation of some organisms in the ecosystem due to preferential amplification of some rDNA.[16]

5.

TGGE-DGGE Analyses of 16S rRNA Genes

These techniques, widely used for intestinal microbiota assessment, consist of PCR amplification of 16S rRNA genes with group or specific primer pairs, one of which has a GC clamp attached to the 50 end in order to avoid complete dissociation of the two DNA strands of the amplified product even in stringent denaturing conditions, followed by denaturing gel electrophoresis (TGGE or DGGE) in which the double-stranded DNA is electrophoresed through a gradient of denaturant. The position in a gel where the double-stranded DNA melts and becomes single-stranded DNA depends on the sequence, so amplified DNA will migrate in a sequence-dependent manner. This method is a powerful tool for monitoring bacterial succession phenomena. In addition, the predominant bands obtained can be sequenced in order to determine which organisms are predominant. Using TGGE, Zoetendal et al.[31] studied the diversity of predominant bacteria in human adult fecal samples, showing remarkable stability in the profiles during time. Eubacterium hallii, Ruminococcus obeum and Fusobacterium prausnitzii were the most commonly found species in human feces. Satokari and collaborators[32] studied the bifidobacteria microbiota in adults using DGGE, showing that B. adolescentis is the most commonly found species in adult human feces. With regard to the Lactobacillus population, L. ruminis and L. salivarius have been reported to be the true autochthonous lactobacilli, whereas other species frequently used in food manufacture can be detected in feces of individuals for a long time.[33] 6.

Terminal Restriction Fragment Patterns Analysis

Another technique used in intestinal microbiota research is 16S rDNA terminal restriction fragment pattern (TRFP) analysis. 16S rDNA amplification is accomplished with a fluorescently labeled and an unlabeled primer so that the PCR product is labeled at one end. After digestion of the PCR products with one or more endonucleases, the length of the labeled terminal restriction fragments is determined by capillary electrophoresis. Rapid identification of the predominant human and animal intestinal bacteria can be accomplished with this method using the appropriate restriction enzymes.[34,35] 7.

Oligonucleotide Arrays

Wang and coworkers[36] developed an oligonucleotide microarray using species-specific probes for the detection of 20 predominant human intestinal bacteria from fecal samples. Microarray technology can be used for simultaneous detection of thousands of target DNA sequences at one time. Thus, its use could permit the detection of thousands of bacterial species in a sample in a rapid and accurate manner. However, in order to avoid the necessity of this expensive microarray equipment, a membrane-array procedure has also been reported.[37] In the near future with the increasing availability of genome sequences from intestinal bacteria, microarray analysis will become a powerful and valuable tool to assess the microbial composition of the human intestinal tract and to study how different members of the intestinal microbiota modulate the expression of genes from both intestinal cells and other intestinal bacteria.

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Hoang-Dung TRAN and friends These culture-independent approaches for assessment of intestinal microbiota have led to a better understanding of the qualitative content and the predominant species of the intestinal microbiota, but unfortunately they do not provide reliable quantitative data or information about minority species also present in the gastrointestinal tract, thus some quantitative culture-independent methods have been developed. The procedure most widely used is fluorescence in situ hybridization with fluorescently labeled probes. Recently, other quantitative procedures have been introduced, e.g., real-time PCR.

8.

Fluorescent in situ Hybridization Technique (FISH)

Using FISH with different group-specific probes, around 90% of the total fecal bacteria can be detected. Bacteriodes/Prevotella and Clostridium coccoides/Eubacterium rectale are present in the highest numbers (1010).[23,25] Other bacterial groups represented in high levels (.109 cells/g feces) are Ruminococcus [25] and Bifidobacterium.[15,23,25] FISH has also been used to assess changes in levels of the predominant groups of intestinal bacteria as a result of the consumption of prebiotic substances[38] or probiotic bacteria.[39] By means of FISH it has also been shown that there are some differences in the gut microbiota between infants who later develop atopy and those who do not.[40] FISH has been relatively widely used for intestinal microbiota assessment, and therefore many data exist. This offers an advantage for new studies. However, the technique is laborious, with problems involving the visual counting of samples, and it is quite time consuming. Such factors limit its further applicability. Alternative methods have been developed to replace manual visual counting with more efficient and objective methods, such as automated image analysis[41] or flow cytometry.[42] In FISH differences exist in target region availability, cell permeability, or when using 16S rRNA –targeted probes to the ribosome content of the cells. Low fluorescence levels in positively hybridized cells can also significantly overlap high signals of the negative controls.[15] Coaggregation of bacteria, broken cells, or contaminating substances can make counting even more difficult. Therefore, a more rapid and accurate procedure for quantitative microbiota assessment is needed for the future. 9.

Real-Time PCR

Real-time PCR (Fig. 1) is a promising tool to study the composition of complex communities such as are found in the gastrointestinal tract. This procedure has been used for the quantification of Bifidobacterium in fecal samples[43] and Escherichia coli and Bacteroides vulgatus in gastrointestinal mucosa.[44] It has also been used for the quantification of total bacteria and some specific species in dental plaque and caries dentine.[45,46] Mainly 16S rDNA genes are used as target molecules, but as more bacterial sequences become available, new specific primers and probes targeting other genes will be available to be used in cases in which the 16S rDNA is not an adequate target. Bacterial quantification by real-time PCR can be influenced by differences in the number of rRNA operons between the quantified species or groups, sequence heterogeneity between different operons in the same species, or differential amplification of different DNA molecules.[47,48] Another method used for assessing intestinal microbiota structure without the need of cell culture is the analysis of cellular fatty acid profiles in fecal samples.[27] Also, metabolic activities can be used as a crude signature of the microbiota. Compositional changes can be tracked by noting changes in metabolic activities assignable to the microbiota.[49]

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50 exonuclease real-time PCR principle. (A) Double-stranded DNA, primers and 5 -labeled probe (fluorescence is quenched) free. (B) Denaturation step—double-stranded DNA is denatured. (C) Annealing step—annealing of primers and 50 -labeled probe with their complementary sequences; the probe is situated downstream from one of the primers. Extension step: (D) the new DNA strands are extended by the DNA polymerase; (E) during the extension the DNA polymerase encounters the hybridized probe and digest it by means of its 50 -30 exonucleolytic activity, the fluorescent molecule is released, and an increase in fluorescence can be detected.

Figure 1 0

V.

CONCLUSION

The intestinal microbiota is a dynamic and complex ecosystem that varies greatly between individuals, making its study and characterization difficult. Numerous methodologies, both culture-dependent and culture-independent, have been used for intestinal microbiota assessment and have led to an increase of our understanding of microbiota-host interactions. In recent years, new molecular techniques have enhanced our understanding of microbial ecology in the gut but at the same time have shown that our knowledge of intestinal microbiota composition is limited. In order to obtain more precise data, new rapid and more accurate techniques for intestinal microbiota assessment are urgently needed. New methodologies should provide valuable assistance to future studies and could lead to a significant increase in our understanding of intestinal microbiota composition and microbiota-host interactions. Real-time PCR is a promising tool for studies of intestinal microbiota composition. The development of DNA microarrays for both intestinal cells and intestinal microbiota members will fundamentally change our understanding of

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Hoang-Dung TRAN and friends microbiota-host interactions, which will lead to the development of a new generation of probiotics, whose action will be target and site-specific.

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Harmsen, H.J.M.; Gibson, G.R.; Elfferich, P.; Raangs, G.C.; Wildeboer-Veloo, A.C.M.; Argaiz, A.; Roberfroid, M.B.; Welling, G.W. Comparison of viable cell counts and fluorescence in situ hybridization using specific rRNA-based probes for the quantification of human fecal bacteria. FEMS Microbiol. Lett. 1999, 183, 125 – 129. Wang, R-F.; Caom W-W.; Campbell, W.L.; Hairston, L.; Franklin, W.; Cerniglia, C.E. The use of PCR to monitor the population abundance of six human intestinal bacterial species in an in vitro semicontinuous culture system. FEMS Microbiol. Lett. 1994, 124, 229 – 238. Wang, R-F.; Cao, W-W.; Cerniglia, C.E. PCR detection and quantitation of predominant anaerobic bacteria in human and animal fecal samples. Appl. Environ. Microbiol. 1996, 62 (4), 1242–1247. Matsuki, T.; Watanabe, K.; Tanaka, R.; Oyaizu, H. Rapid identification of human intestinal bifidobacteria by 16S rRNA-targeted species- and group-specific primers. FEMS Microbiol. Lett. 1998, 167, 113–121. Matsuki, T.; Watanabe, K.; Tanaka, R.; Fukuda, M.; Oyaizu, H. Distribution of bifidobacterial species in human intestinal microflora examined with 16S rRNA-gene targeted species-specific primers. Appl. Environ. Microbiol. 1999, 65 (10), 4506– 4512. Matsuki, T.; Watanabe, K.; Fujimoto, J.; Miyamoto, Y.; Takada, T.; Matsumoto, K.; Oyaizu, H.; Tanaka, R. Development of 16S rRNA-gene-targeted group-specific primers for the detection and identification of predominant bacteria in human feces. Appl. Environ. Microbiol. 2002, 68 (11), 5445– 5451. Franks, A.H.; Harmsen, H.J.M.; Raangs, G.C.; Jansen, G.J.; Schut, F.; Welling, G.W. Variations of bacterial populations in human feces measured by fluorescent in situ hybridization with group-specific 16S rRNA-targeted oligonucleotide probes. Appl. Environ. Microbiol. 1998, 64 (9), 3336– 3345. Schwiertz, A.; Le Blay, G.; Blaut, M. Quantitation of different Eubacterium spp. in human fecal samples with species-specific 16S rRNA-targeted oligonucleotide probes. Appl. Environ. Microbiol. 2000, 66 (1), 375– 382. Harmsen, H.J.M.; Raangs, G.C.; He. T.; Degener, J.E.; Welling, G.W. Extensive set of 16S rRNA-based probes for detection of bacteria in human feces. Appl. Environ. Microbiol. 2002, 68 (6), 2982 –2990. Sghir, A.; Gramet, G.; Suau, A.; Rochet, V.; Pochart, P.; Dore, J. Quantification of bacterial groups within human fecal flora by oligonucleotide probe hybridization. Appl. Environ. Microbiol. 2000, 66 (5), 2263– 2266. Hopkins, M.J.; Sharp, R.; Macfarlane, G.T. Age and disease related changes in intestinal bacterial populations assessed by cell culture, 16S rRNA abundance, and community cellular fatty acid profiles. Gut. 2001, 48, 198– 205. Marteau, P.; Pochart, P.; Dore´, J.; Be´ra-Maillet, C.; Bernalier, A.; Corthier, G. Comparative study of bacterial groups within the human cecal and fecal microbiota. Appl. Environ. Microbiol. 2001, 67 (10), 4939– 4942. Malinen, E.; Matto, J.; Salmitie, M.; Alander, M.; Saarela, M.; Palva, A. PCR-ELISA II: analysis of Bifidobacterium populations in human faecal samples from a consumption trial with Bifidobacterium lactis Bb-12 and a galacto-oligosaccharide preparation. Syst. Appl. Microbiol. 2002, 25 (2), 249–258. Heilig, H.G.H.J.; Zoetendal, E.G.; Vaughan, E.E.; Marteau, P.; Akkermans, A.D.L.; de Vos, W.M. Molecular diversity of Lactobacillus spp. and other lactic acid bacteria in the human intestine as determined by specific amplification of 16S ribosomal DNA. Appl. Environ. Microbiol. 2002, 68 (1), 114– 123. Zoetendal, E.G.; Akkermans, A.D.L.; de Vos, W.M. Temperature gradient gel electrophoresis analysis of 16S rRNA from human fecal samples reveals stable and host-specific communities of active bacteria. Appl. Environ. Microbiol. 1998, 64 (10), 3854– 3859. Satokari, R.M.; Vaughan, E.E.; Akkermans, A.D.L.; Saarela, M.; de Vos, W.M. Bifidobacterial diversity in human feces detected by genus specific PCR and denaturing gradient gel electrophoresis. Appl. Environ. Microbiol. 2001, 67 (2), 504 – 513.

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34.

35.

36.

37.

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39. 40.

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42.

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44.

45. 46.

47.

48.

49.

Walter, J.; Hertel, C.; Tannock, G.W.; Lis, C.M.; Munro, K.; Hammes, W.P. Detection of Lactobacillus, Pediococcus, Leuconostoc, and Weissella species in human feces by using group-specific PCR primers and denaturing gradient gel electrophoresis. Appl. Environ. Microbiol. 2001, 67 (6), 2578 –2585. Kaplan, C.W.; Astaire, J.C.; Sanders, M.E.; Reddy, B.S.; Kitts, C.L. 16S ribosomal DNA terminal restriction fragment pattern analysis of bacterial communities in feces of rats fed Lactobacillus acidophilus NCFM. Appl. Environ. Microbiol. 2001, 67 (4), 1935– 1939. Khan, A.A.; Nawaz, M.S.; Robertson, L.; Khan, S.A.; Cerniglia, C.E. Identification of predominant human and animal anaerobic intestinal bacterial species by terminal restriction fragment patterns (TRFP’s): a rapid, PCR-based method. Mol. Cell. Probes. 2001, 15, 349 – 355. Wang, R-F.; Beggs, M.L.; Robertson, L.H.; Cerniglia, C.E. Design and evaluation of oligonucleotide-microarray method for the detection of human intestinal bacteria in fecal samples. FEMS Microbiol. Lett. 2002a, 213, 175 – 182. Wang, R-F.; Kim, S.J.; Robertson, L.H.; Cerniglia, C.E. Development of a membrane-array method for the detection of human intestinal bacteria in fecal samples. Mol. Cell. Probes. 2002b, 16, 341– 350. Tuohy, K.M.; Finlay, R.K.; Wynne, A.G.; Gibson, G.R. A human volunteer study on the prebiotic effects of HP-Inulin—fecal bacteria enumerated using fluorescent in situ hybridization (FISH). Anaerobe. 2001, 7, 113– 118. Kirjavainen PV, Arvola T, Salminen SJ, Isolauri E. Aberrant composition of gut microbiota of allergic infants: a target of bifidobacterial therapy at weaning? Gut. 2002, 51, 51 – 55. Kallioma¨ki, M.; Kirjavainen, P.; Eerola, E.; Kero, P.; Salminen, S.; Isolauri, E. Distinct patterns of neonatal gut microflora in infants in whom atopy was and was not developing. J. Allergy Clin. Immunol. 2001, 107, 129 – 134. Jansen, G.J.; Wildeboer-Veloo, A.C.M.; Tonk, R.H.J.; Franks, A.H.; Welling, G.W. Development and validation of an automated, microscopy-based method for enumeration of groups of intestinal bacteria. J. Microbiol. Methods 1999, 37, 215 – 221. Zoetendal, E.G.; Ben-Amor, K.; Harmsen, H.J.; Schut, F.; Akkermans, A.D.; de Vos, W.M. Quantification of uncultured Runinococcus obeum-like bacteria in human fecal samples by fluorescent in situ hybridization and flow cytometry using 16S rRNA-targeted probes. Appl. Environ. Microbiol. 2002, 68 (9), 4225– 4232. Requena, T.; Burton, J.; Matsuki, T.; Munro, K.; Simon, M.A.; Tanaka, R.; Watanabe, K.; Tannock, G.W. Identification, detection and enumeration of human Bifidobacterium species by PCR targeting the transaldolase gene. Appl. Environ. Microbiol. 2002, 68 (5), 2420– 2427. Huijsdens, X.W.; Linskens, R.K.; Mak, M.; Meuwissen, S.G.M.; Vandenbroucke-Grauls, C.M.J.E.; Savelkoul, P.H.M. Quantification of bacteria adherent to gastrointestinal mucosa by real-time PCR. J. Clin. Microbiol. 2002, 40 (12), 4423– 4427. Lyons, S.R.; Griffen, A.L.; Leys, E.J. Quantitative real-time PCR for Porphyromonas gingivalis and total bacteria. J. Clin. Microbiol. 2000, 38 (6), 2362– 2365. Nadkarni, M.A.; Martin, F.E.; Jacques, N.A.; Hunter, N. Determination of bacterial load by real-time PCR using a broad range (universal) probe and primers set. Microbiology 2002, 148, 257– 266. Wintzingerode, F.V.; Go¨bel, U.B.; Stackebrandt, E. Determination of microbial diversity in environmental samples: pitfalls of PCR-based rRNA analysis. FEMS Microbiol. Rev. 1997, 21, 213– 229. Schmalenberger, A.; Schwieger, F.; Tebbe, C.C. Effect of primers hybridising to different evolutionary conserved regions of the small-subunit rRNA gene in PCR-based microbial community analyses and genetic profiling. Appl. Environ. Microbiol. 2001, 67 (8), 3557– 3563. Midtvedt, A.C.; Carlstedt-Duke, B.; Norin, H.; Saxerholt, H.; Midtvedt, T. Development of five metabolic activities associated with the intestinal flora in healthy infants. J. Pediatric. Gastroenterol. Nutr. 1998, 7, 559 – 567.

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Hoang-Dung TRAN and friends

11 Antimicrobial Components from Lactic Acid Bacteria ARTHUR C. OUWEHAND and SATU VESTERLUND University of Turku, Turku, Finland

I.

INTRODUCTION

The ability of lactic acid bacteria (LAB) to produce antimicrobial substances has historically long been used to preserve foods. Preservation of milk by fermentation has been used early in history, Sumerian writings about dairying go back to about 6000 B .C . Procedures for the fermentation of meat were developed as early as the fifteenth century B .C . in Babylon and China. Methods for the fermentation of vegetables were known in China in the third century [1] B.C . Since the days of Metchnikoff, lactic acid bacteria have also been used as probiotics to improve the composition and activity normal microbiota of the intestine.[2] Fermentation reduces the amount of available carbohydrates and results in a range of small molecular mass organic molecules that exhibit antimicrobial activity, the most common being lactic, acetic, and propionic acids.[3] In addition to the production of these inhibitory primary metabolites, many other antimicrobial components can be formed by different lactic acid bacteria. One should bear in mind that antimicrobial substances are not produced for human convenience. The biological significance is thought to be that of amensalism, a means of one bacterium gaining advantage over another competing microbe. This can be achieved by changing the environment, e.g., acidification, or production of toxins against competitors.[4,5] The aim of this chapter is to discuss the formation, spectrum of activity, and mode of action of the various antimicrobial substances produced by lactic acid bacteria. II.

ORGANIC ACIDS

Upon fermentation of hexoses, lactic acid is produced by homofermentation or equimolar amounts of lactic acid, acetic acid/ethanol, and CO2 are produced by heterofermentation (see Chapter 1). 375 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends It has long been observed that weak acids have a more powerful antimicrobial activity at low pH than at neutral pH.[6] Of the two acids, acetic acid is the strongest inhibitor and has a wide range of inhibitory activity, inhibiting yeasts, molds, and bacteria,[3] while propionic acid has been observed to exert a strong antimicrobial effect, in particular towards yeasts and molds.[7] This stronger antimicrobial activity of acetic and propionic acid can be explained in part by their higher pKa of as compared to lactic acid (4.87, 4.75, and 3.08, respectively). At, for example, pH 4, only 11% of lactic acid is undissociated, whereas 85% of acetic acid and 92% of propionic acid is undissociated.[8] When a mixture of acids is present, it is likely that lactic acid contributes mainly to the reduction in pH, while propionic and acetic acid, which become undissociated, are the actual antimicrobial agents. Indeed, mixtures of lactic and acetic acid have been observed to reduce the growth rate of Salmonella enterica ser. var. Typhimurium more than either acid alone, suggesting a synergistic activity.[9] However, in addition to reducing the pH, lactic acid has been observed to also permeabilize membranes, thereby further enhancing the activity of other antimicrobial substances.[10] It is often assumed that the undissociated molecule is the toxic form of a weak acid, although the dissociated acids have also been observed to inhibit microbial growth.[8] It is assumed that the undissociated (neutral) form of the organic acid diffuses across the cell membrane because they are lipid-soluble.[11,12] However, some workers have suggested an energy-linked uptake of certain acids.[13] After entering the cell, the acid will dissociate since the cytoplasmic pH is usually around neutral.[14,15] Many workers have suggested that the release of protons into the cytoplasm leads to acidification and dissipation of the pH gradient over the membrane causing the observe growth inhibition.[3,16] However, other workers suggest that this hypothesis should be reviewed. It has been suggested that not the proton translocation,[17 – 19] but the accumulation of the anion is the major cause of the observed growth inhibition. It is proposed that the anion reduces the rate of macromolecule synthesis[13] and affects transport over the cell membrane.[17] In particular, lactic acid bacteria, as well as other bacteria, counteract the effects of anion accumulation by reducing their cytoplasmic pH.[19] In most practical applications, the organic acids will be present in a medium containing organic material. Gelinas and Goulet[20] observed that organic matter reduced the bactericidal activity of a sulfated oleic acid. Cherrington and coworkers[13] found that yeast extract reduced the activity of lactic and acetic acid whereas blood and milk enhanced the activity of acetic acid. We have also observed that the addition of casamino acids (10 g/L) improved the antimicrobial activity of Lactobacillus fermentum spent culture liquid.[21]

III.

HYDROGEN PEROXIDE

In the presence of oxygen, lactic acid bacteria are able to generate hydrogen peroxide (H2O2) through the action of flavoprotein-containing oxidases, NADH oxidases, and superoxide dismutase. In the absence of a source of heme, lactic acid bacteria will not produce catalase for the removal of hydrogen peroxide. Other systems that eliminate hydrogen peroxide are less active than the ones producing it. This allows for the accumulation of hydrogen peroxide.[22] However, Fontaine and coworkers[23] argue that hydrogen peroxide does not accumulate to significant amounts in vivo, because it is decomposed by peroxidases, flavoproteins, and pseudocatalase. The bactericidal effect of hydrogen peroxide has been attributed to its strong oxidizing effect on the bacterial cell; sulfhydryl

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Hoang-Dung TRAN and friends groups of cell proteins and membrane lipids can be oxidized.[24 – 26] Also, some of the hydrogen peroxide –producing reactions scavenge oxygen, thereby creating an anaerobic environment that is unfavorable for certain organisms. It has been suggested that hydrogen peroxide production is particularly important for colonization of the urogenital tract by lactobacilli. Colonization by such lactobacilli has been found to decrease the acquisition of human immune deficiency virus (HIV) infection, gonorrhea, and urinary tract infections.[27] Nevertheless, some workers question whether in vivo hydrogen peroxide per se has significant bactericidal activity.[23,28] Under natural conditions, the antimicrobial effects of hydrogen peroxide may be enhanced because of the presence of lactoperoxidase and thiocyanate (SCN2). The glycoprotein lactoperoxidase is found in saliva, tears, and milk. It catalyzes the oxidation of thiocyanate by hydrogen peroxide, generating hypothyanite (OSCN2) and, in the presence of an excess of hydrogen peroxide, also O2SCN2 and O3SCN2:[22,29] lactoperoxidase

ƒ! OSCN
þ H2 O SCN
þ H2 O2 ƒƒƒƒƒƒƒ Structural damage and changes in bacterial membranes due to exposure to OSCN2 have been reported.[30] However, the main antimicrobial effect is contributed to blocking of the glycolysis. It is proposed that it inhibits glucose transport, hexokinase activity, and glyceraldehyde-3-phosphate dehydrogenase activity due to the oxidation of sulfhydryle groups in these metabolic enzymes. The latter enzyme, glyceraldehyde-3-phosphate dehydrogenase, appears to be the primary target.[31] The activity toward gram-positive bacteria, including lactic acid bacteria, is generally bacteriostatic, whereas many gram-negative bacteria are rapidly killed.[3,22,26] IV.

CARBON DIOXIDE

Carbon dioxide (CO2) is mainly formed during heterofermentative lactic acid fermentation of hexoses, but also many other metabolic pathways generate carbon dioxide during fermentation.[32] Carbon dioxide has a dual antimicrobial effect. Its formation creates an anaerobic environment and carbon dioxide in itself has an antimicrobial activity.[26] The mechanism of this activity is unknown, but it has been suggested that enzymatic decarboxylations are inhibited[33] and that accumulation of carbon dioxide in the lipid bilayer causes dysfunction in membrane permeability.[26] At low concentrations carbon dioxide can stimulate the growth of some organisms, whereas at higher concentrations it can prevent growth.[26] Because of its antimicrobial activity, carbon dioxide is now commonly used as the main component of modified atmosphere packages. Gram-negative bacteria have been reported to be more sensitive to the carbon dioxide in the modified atmosphere than gram-positive bacteria.[34] V.

DIACETYL

Diacetyl (2,3-butanedione) was identified by van Niel and coworkers[35] as the aroma and flavor component in butter. In 1927 Lemoigne[36] described its antimicrobial activity against Bacillus sp. It is produced by species and strains of the genera Lactobacillus, Leuconostoc, Pediococcus, and Streptococcus, as well as other organisms.[37] When

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Hoang-Dung TRAN and friends hexoses are metabolized, the formation of diacetyl will be repressed. However, diacetyl can be overproduced if citrate is metabolized. Citrate is converted via pyruvate into diacetyl.[26] Jay[37] observed that diacetyl was progressively more effective at pH ,7. It was also observed that the antimicrobial activity was antagonized by the presence of glucose, acetate, and Tween 80. Diacetyl was found to be more active against gram-negative bacteria, yeasts, and molds than against gram-positive bacteria; lactic acid bacteria were the least sensitive. Diacetyl is thought to react with the arginine-binding protein of gram-negative bacteria and thereby interfering with the utilization of this amino acid.[37]

VI.

LOW MOLECULAR WEIGHT ANTIMICROBIAL SUBSTANCES

There are several reports on the production of low molecular weight components with antimicrobial activity by lactic acid bacteria.[38 – 43] In addition to a low molecular weight, these components also share other properties: (a) active at low pH, (b) thermostable, (c) broad spectrum of activity, and (d) soluble in acetone.[44] Detailed information on the substances has not been published. In some cases, other investigators have not been able to reproduce the findings.[45] The question is therefore whether the observed activities are attributable to the reported substances or if they are caused by the previously mentioned metabolic end products. This illustrates the uncertainties surrounding this class of antimicrobial substances. In the following sections, three well-identified low molecular weight antimicrobial substances will be discussed. A.

Reuterin

Lactobacillus reuteri is a member of the normal microbiota of the gastrointestinal tract of humans and many other animals. It has been found to produce a low molecular weight antimicrobial substance, reuterin, when grown anaerobically on a mixture of glucose and glycerol or glyceraldehyde.[46] Through dehydration of glycerol, Lb. reuteri can produce 3-hydroxypropanal, reuterin (Fig. 1). This can subsequently be reduced to 1,3-propanediol by NADH þ Hþ-dehydrogenase.[3,47] During log phase, no reuterin is produced since it is reduced by the reducing power from glucose metabolism. However, when cells enter stationary phase, reuterin starts to accumulate.[44] When allowed to be in contact with the target cells, Lb. reuteri is stimulated in its reuterin production.[48] In aqueous solutions, reuterin can be present in three forms: mainly monomeric, hydrated monomeric, and to a lesser extend cyclic dimeric. It is not known which form or combination is more biologically active.[49] Although other bacteria also dissimilate glycerol via the same

Figure 1

Structure of reuterin, 3-hydroxypropanal.

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Hoang-Dung TRAN and friends pathway, accumulation and excretion of reuterin appears to be a specific property of Lb. reuteri.[47,50] Reuterin has a very broad spectrum of antimicrobial activity. It was found to have antibacterial, antifungal, antiprotozoal, and antiviral activity.[46,48,51] No reports on possible negative effects of reuterin on human cells could be found, although reuterin has been observed to be able to cross link biological tissues in a similar way to glutaraldehyde.[52] Lactic acid bacteria, including Lb. reuteri, are also sensitive to reuterin, but they are more resistant than other microorganisms.[48,51] The broad antimicrobial activity may be explained by its mechanism of action. Reuterin is thought to act against sulfhydryl enzymes. It was shown to be an inhibitor of the substrate-binding subunit of ribonucleotide reductase, thereby interfering with DNA synthesis.[51]

B.

Reutericyclin

A strain of Lactobacillus reuteri has recently been observed to produce yet another low molecular weight antimicrobial substance, reutericyclin. Reutericyclin has a molecular weight of 349 Da and is negatively charged and highly hydrophobic.[53] The presence of fatty acids in the culture medium was found to affect its production and the distribution of reutericyclin between the culture supernatant and producer cells. Tween 80 stimulated production most and also significantly increased the concentration of reutericyclin in the culture supernatant. The inhibitory activity of reutericyclin is increased dramatically at higher salt concentrations (2%) and low pH (4.5). The minimal inhibitory concentration was found to be approximately 0.05– 1 mg/L for gram-positive bacteria. Gram-negative bacteria and yeasts were not found to be sensitive (.100 mg/L).[54] Reutericyclin does not appear to form pores in the membrane of the target cells, but rather works as a proton ionophore. It partitions into the cytoplasmic membrane, due to its hydrophobicity, and selectively dissipates the transmembrane DpH.[55]

C.

2-Pyrrolidone-5-carboxylic Acid

Pyroglutamic acid, or PCA (Fig. 2), was found to be produced by Lactobacillus casei ssp. casei, L. casei ssp. pseudoplantarum and Streptococcus bovis,[56,57] though PCA is also present in fruits, vegetables, and grasses. It was observed to be inhibitory to Bacillus subtilis, Enterobacter cloacae, Pseudomonas putida, and Pseudomonas fluorescens. PCA was heat stable (20 min at 1218C) but lost its activity when the pH was raised above 2.5, depending on the target strain used. Although PCA had a stronger antimicrobial activity than lactic acid at the same concentration,[58] it is likely that PCA’s mechanism of action is similar to that of organic acids.

Figure 2

Structure of 2-pyrrolidone-5-carboxylic acid (PCA).

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VII.

BACTERIOCINS

Bacteriocins are ribosomally synthesized compounds produced by bacteria in order to inhibit the growth of other bacteria. These compounds are found in almost every bacterium species examined to date,[59] but only some of them have been extensively studied. Bacteriocins can be regarded as antibiotics, but they differ from antibiotics in several critical ways: (a) bacteriocins are ribosomally synthesized, (b) host cells are immune to them, (c) their mode of action is different from antibiotics, and (d) they have a narrow killing spectrum and thus they are generally able to kill only bacteria closely related to the producing strain.[60] So far there is not enough evidence that bacteriocins produced by gram-positive bacteria have any effect on gram-negative bacteria without addition of any membrane-active compound. This has limited the use of bacteriocins in food applications, but this property can also be considered an advantage. Bacteriocins can be used as “target drugs” toward specific pathogens without disturbing the beneficial microbiota. Bacteriocins could then limit the use of antibiotics to some extent and thus delay the evolution of antibiotic resistance. Besides concern about antibiotic resistance, increasing consumer awareness of potential health risks associated with chemical preservatives has increased interest in bacteriocins. Bacteriocins are naturally produced so they are more easily accepted by consumers. This section is an introduction to the field of bacteriocins. Many excellent reviews on this topic have been published, and the reader is referred to these for more in-depth information.[59,61 – 67] Bacteriocins produced by lactic acid bacteria can be divided into three major classes (Table 1): I, lantibiotics; II, small heat-stable peptides; and III, large heat-labile proteins.(68] A fourth class of bacteriocins with a complex structure has also been suggested, but is not generally accepted. Classes I and II are the main classes of bacteriocins due to their abundance and potential use in commercial applications. Although knowledge about

Table 1

Classes of Bacteriocins Produced by LAB

Class

Subclass

Description

A(1)

Elongated, cationic, membrane active, slight þ or 2 net charge Elongated, cationic, membrane active, highly 2 net charge Globular, inhibit enzyme activity Small (,10 kDa), moderate (1008C) to high (1218C) heat-stable, non – lanthionine-containing membraneactive peptides Listeria active peptides with – Y – G– N –G – V– X –C – near the amino terminus Two-peptide bacteriocins Other peptide bacteriocins Large (.30 kDa) heat-labile proteins Complex bacteriocins: protein with lipid and/or carbohydrate

Class I (lantibiotics)

A(2) B Class II

IIa IIb IIc Class III Class IV Source: Adapted from Ref. 114.

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Hoang-Dung TRAN and friends bacteriocins has increased greatly, there are still many open questions regarding immunity (self-protection) and the molecular basis of target-cell specificity. The following sections will deal with the four classes of bacteriocins in greater detail, including examples of bacteriocins in each class (producer strain, spectrum of activity), their molecular mechanisms of activity, and protection against it (immunity).

A.

Class I

Class I bacteriocins, also called lantibiotics, are small (,5 kDa) peptides. Lantibiotics contain unusual amino acids not normally found in nature (e.g., lanthionine and b-methyllanthionine), in addition to a number of dehydrated amino acids.[69] These unusual amino acids are synthesized by posttranslational modifications. Lantibiotics can be divided into two groups on the basis of their structural and functional features (Table 2). Type A lantibiotics are elongated and cationic peptides up to 34 residues in length. These peptides

Table 2

Examples of Class I Bacteriocins (Lantibiotics) Produced by LAB

Lantibiotic Type A lantibioticsa Type A(I) Mutacin B-Ny266 Mutacin 1140 Nisin A

Nisin Z Type A(II) Carnocin U149

Cytolysin Lacticin 481 Lactocin S

Salivaricin A Streptococcin A-FF22 Type-B Lantibiotics

Producing strain(s)

Streptococcus mutans Ny266 S. mutans JH1000 Lactococcus lactis several strains, e.g., NIZOR5, 6F3, NCFB894, ATCC11454

Lc. lactis, several strains, e.g., N8, NIZO22186 Carnobacterium piscicola U149

Enterococcus faecalis DS16 Lc. lactis CNRZ481, ADRIA85LO30 Lactobacillus sake L45

S. salivarius 20P3 S. pyogenes FF22 Not produced by LAB

a

Antimicrobial activity

Lactococcus spp., Streptococcus spp., Staphylococcus spp., Micrococcus spp., Pediococcus spp., Lactobacillus spp., Listeria spp., Mycobacterium spp., Clostridium spp. (þ spores), and Bacillus spp. (þ spores) As above

Carnobacterium spp., Lactobacillus spp., Pediococcus spp., and Lactococcus spp. Lactic acid bacteria and Clostridium tyrobutyricum Lactobacillus spp., Pediococcus spp., and Leuconostoc spp. Micrococcus luteus

Separated into two groups based on leader sequences and gene cluster composition. Source: Refs. 63, 68, 87, 115.

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Hoang-Dung TRAN and friends primarily act by disrupting the membrane integrity of target organisms. Type B lantibiotics are globular, up to 19 residues in length, and act through disruption of enzyme function, e.g., by inhibiting the cell wall biosynthesis of the cell.[63] Lantibiotics are synthesized in an inactive form with a N-terminal leader sequence, which is cleaved off during maturation, releasing active peptide. According to de Vos and coworkers, Type A lantibiotics can be classified further into two groups on the basis of size, charge, and sequence of this leader peptide.[70] The model-type lantibiotic nisin is discussed as an example of lantibiotics. Nisin was discovered in 1928 by Rogers and coworkers, and to date it is the most widely used commercial bacteriocin sold in more than 40 countries.[64,71] Nisin is produced by several strains of Lactococcus lactis, and it has a broad spectrum of activity against gram-positive bacteria. Nisin has been shown to be bactericidal to most lactic acid bacteria, Staphylococcus aureus, Listeria monocytogenes, vegetative cells of Bacillus spp., and Clostridium spp. as well as preventing outgrowth of spores in Bacillus and Clostridium species.[68] Nisin has a natural variant, nisin Z, with a single amino acid change where histidine in position 27 is replaced with asparagine.[72] This substitution has little effect on antimicrobial activity, but it increases the solubility of nisin at neutral pH, offering more potential applications. The cytoplasmic membrane is the primary target for nisin activity. Escherichia coli and other gram-negative bacteria are only affected when their outer membranes are sublethally damaged with chelating agents, e.g., EDTA, which binds magnesium ions from the lipopolysaccharide layer of the outer membrane. The mode of action of nisin has been studied intensively, and several mechanisms for its antimicrobial activity have been proposed. Nisin has been shown to inhibit peptidoglycan biosynthesis,[73] leading to the suggestion that nisin interacts with cell wall precursors lipid I and lipid II.[74] Later studies showed that nisin is capable of pore formation.[75,76] Further studies showed the dual functionality of nisin when it was demonstrated that nisin uses lipid II primarily as a docking molecule for pore formation.[77] Pores in the membrane allow diffusion of small compounds such as amino acids and ATP, resulting in the collapse of the proton-motive force (PMF), and stop the biosynthesis of macromolecules such as DNA, RNA, and proteins. In addition to inhibition of cell wall biosynthesis and formation of pores, nisin has been shown to be capable of inducing autolysis of susceptible staphylococcal cells. Cationic nisin is able to release two strongly cationic cell wall –hydrolyzing enzymes (N-acetylmuramoyl-L -alanine amidase and N-acetylglucosaminidase) by a cation exchange-like process, resulting in enzyme activation and lysis of the cells.[65] Gram-positive bacteriocins, especially lantibiotics, differ from gram-negative ones in that they require many genes for their production. The nisin gene cluster has been identified to contain genes for prepeptide (nisA), enzymes for modifying amino acids (nisB, nisC ), cleavage of the leader peptide (nisP ), secretion (nisT ), immunity (nisI, nisFEG ), and regulation of expression (nisR, nisK ).[59] The bacteriocin-producing strain needs to protect itself from the antimicrobial activity of its bacteriocin. Also, target strains can develop resistance to bacteriocin. Klaenhammer defined three categories of nisin resistance: (a) immunity, (b) resistance not genetically linked to production, and (c) nisin-resistance mutation.[68]

1.

Nisin immunity is genetically linked with genes nisI and nisFEG. NisI is an immunity lipoprotein, which is anchored on the outside of the cell membrane.[68] NisFEG is an ATP transporter, which transports nisin out of the

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Antimicrobial Components from Lactic Acid Bacteria

2.

3.

B.

383

Hoang-Dung TRAN and friends cell, lowering the concentration of nisin below an inhibitory threshold.[78] Full immunity seems to require both gene products, and NisI and NisFEG seem to cooperate in immunity.[79] Many non – nisin-producing gram-positive strains have been found to have nisin-inactivating enzymes or nisinases. Bacillus cereus has been found to inactivate nisin by reducing the dehydroamino acids.[80,81] Nisin resistance may be acquired in the presence of sublethal nisin concentrations. The mechanism of resistance may differ from strain to strain.[82] In general, bacteriocin resistance appears to be a complex phenomenon, involving various changes in the bacteria. Klaenhammer suggested mutational changes in cell components directly or indirectly involved with nisin adsorption or membrane insertion.[68] In the case of L. monocytogenes, nisin resistance has been ascribed to alterations in both the fatty acid composition and the phospholipid composition.[62]

Class II

Class II bacteriocins are also small (,10 kDa), and generally this class consist of heatstable, non – lanthionine-containing, membrane-active peptides. Typical for this class is that their inhibition spectrum is mostly narrow. This has raised the question whether class II bacteriocins act through a receptor molecule in the target cell membrane. However, the matter of a receptor molecule or molecules is still an unresolved issue. Class II bacteriocins can be divided into three subclasses (Table 3). Class IIa is the largest group, and typical of this subclass is a conserved amino-terminal sequence (YGNGVXC) and activity against Listeria. Subclass IIb includes bacteriocins with two peptides. Formerly class IIc consisted of bacteriocins that were thiol-activated and secreted in secdependent manner. However, now it has been shown that bacteriocins formerly grouped into class IIc can act with their cysteine residues being oxidized can use the sec-dependent secretion system.[62] Class IIc has therefore been modified to contain other non-lantibiotic bacteriocins or miscellaneous peptides that do not belong to class IIa or IIb.[65,66] Most class II bacteriocins dissipate the PMF of the target cell. Recent findings have shown that some class II bacteriocins probably need a target molecule at the surface of the sensitive cell. There is evidence that mannose permease of the phosphotransferase system (PTS) could be the target molecule for the subclass IIa bacteriocins mesentericin Y105 and leucocin A.[65] Subclass IIb dissipates PMF, and it seems that lactococcin G likely needs a specific receptor molecule.[65] As subclass IIc is a heterogeneous group of bacteriocins, their modes of action differ. For example, the class IIc bacteriocin Lactococcin 972 is able to inhibit septum formation.[83] Class IIa bacteriocins are promising for industrial applications because of their strong antilisterial activity. They are even more interesting as antilisterial agents than class I bacteriocins such as nisin, because they do not have a broad inhibitory spectrum and thus do not kill starter cultures.[67] Class IIa bacteriocins have also been called pediocinlike bacteriocins. We use pediocin PA-1 as an example of class II bacteriocins because it is one of the most extensively studied bacteriocins from this class. Pediocin PA-1 (formerly named also pediocin AcH) is usually produced by Pediococcus acidilactici. Pediococci are usually used in the production of fermented vegetables and meat, and they are not well adapted to growth in dairy products. This means that pediocin PA-1 should be used as a pure compound in dairy products. Pediocin PA-1 is

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Hoang-Dung TRAN and friends

Table 3

Examples of Class II Bacteriocins Produced by Lactic Acid Bacteria (LAB)

Bacteriocin Class IIa Bavaricin A Bavaricin MN Carnobacteriocin B2

Producing strain(s) Lactobacillus sake MI401 Lb. sake MN Carnobacterium piscicola LV17B

Carnobacteriocin BM1 Curvacin A

Cb. piscicola LV17B Lb. curvatus LTH1174

Divercin V41 Enterocin A

Cb. divergens V41 Enterococcus faecium CTC492/T136 E. faecium P13

Enterocin P

Leucocin A/B-Ta11a

Piscicolin 126 Sakacin 674 Sakacin A

Leuconostoc gelidum UAL187 Ln. carnosum Ta11a Ln. mesenteroides Y105 E. mundtii ATO6 Pediococcus parvulus ATO34/ATO77 P. acidilactici H/SJ-1/PAC 1.0 Lb. plantarum WHE92 Cb. piscicola JG126 Lb. sake LB764 Lb. sake LB706

Sakacin P

Lb. sake LB673

Mesentericin Y105 Mundticin Pediocin PA-1/AcH/ SJ-1

Class IIb Acidocin J1132

Lb. acidophilus JCM 1132

Antimicrobial activity Listeria spp. Listeria spp. Listeria spp., Enterococcus spp., Carnobacterium spp., Lb. plantarum, and Pediococcus parvulus As above L. monocytogenes, L. ivanovii, Lb. curvatus, Lb. sake, Lb. fructivorans, Carnobacterium spp., and E. faecalis Listeria spp. Listeria spp. L. monocytogenes, Clostridium perfringens, C. botulinum, and Staphylococcus aureus Listeria spp. Listeria spp. Listeria spp. “Wide,” L. monocytogenes

Listeria spp. Listeria spp. L. monocytogenes, Cb. piscicola, Enterococcus spp., Lb. sake, Lb. curvatus, Lb. brevis, Lc. lactis ssp. cremoris, Ln. paramesenteroides, Aeromonas hydrophilia, and S. aureus Listeria ivanovii, Lb. curvatus, Lb. delbrueckii, Lb. sake, Lb. pentosus, Lb. plantarum, Lb. reuteri, Lb. fructivorans, Carnobacterium spp., and E. faecalis Lb. acidophilus (continued )

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Hoang-Dung TRAN and friends Table 3 Continued Bacteriocin

Producing strain(s)

Lactacin F

Lb. johnsonii 11088

Lacticin 3147

Lc. lactis DPC3147

Lactobin A Lactococcin G

Lb. amylovorus LMG P-13139 Lc. lactis LMG2081

Plantaricin EF Plantaricin JK Plantaricin S

Lb. plantarum C11 Lb. plantarum C11 Lb. plantarum

Thermophilin T

Streptococcus thermophilus

Class IIc Divergicin A Lactococcin A Lactococcin 972 Plantaricin A

Cb. divergens LV13 Lc. lactis Lc. Lactis IPLA972 Lb. plantarum C-11

Antimicrobial activity Lb. fermentum, E. faecalis, Lb. delbrueckii, Lb. helveticus, A. hydrophilia (?), and S. aureus (?) Clostridium spp., Enterococcus spp., Lactobacillus spp., Lactococcus spp., Leuconostoc spp., Pediococcus spp., Streptococcus spp., and S. aureus “Narrow” Lactic acid bacteria and Clostridium spp.

Leuconostoc spp., Lb. helveticus, Lb. plantarum, Lb. delbrueckii, Lb. reuteri, Enterococcus spp., Pediococcus spp., Lactococcus spp., Streptococcus spp., Micrococcus spp., Propionibacterium spp., and Clostridium tyrobutyricum Lactic acid bacteria, Clostridium sporogenes, and C. tyrobutyricum “Narrow” “Narrow” (Lactococcus) Lactococcus spp. Lb. plantarum, Lactobacillus spp., Leuconostoc spp., Pediococcus spp., Lc. lactis. and E. faecalis

Source: Refs. 62, 65, 66, 87, 89, 90, 116–122.

encoded by an operon containing four genes: structural gene (pedA), immunity gene (pedB), and secretion genes ( pedC and pedD).[84] Pediocin PA-1, like other low molecular mass bacteriocins, is synthesized as a precursor with a N-terminal leader sequence. Transmembrane translocation of the bacteriocin-peptide is mediated by two membrane-bound proteins: an ABC transporter and an accessory protein.[62] Data show that the N-terminal part of the ABC-transporter is involved in proteolytic removal of the leader sequence from pediocin PA-1.[85]

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Hoang-Dung TRAN and friends Many reports about the mode of action of class IIa bacteriocins have been published. How these bacteriocins interact with the membrane is still unknown. One explanation for the interaction is that positively charged and polar residues of class IIa bacteriocins interact with anionic phospholipids in the membrane, but details of this interaction are unclear.[62] It has been proposed that the consensus motif YGNGVXC in the N-terminus of the bacteriocin is involved in membrane binding as well as a specific target molecule at the cell surface has been proposed.[65] The somewhat less conserved C-terminus of the bacteriocin is hydrophobic and/or amphiphilic and it is though to penetrate into the hydrophobic part of the target membrane thereby mediating membrane leakage.[86] Class IIa bacteriocins, like class I bacteriocins, cause depletion of intracellular ATP. However, in the case of class IIa bacteriocins this does not seem be caused through leakage, due to smaller pore sizes formed by class IIa bacteriocins than by lantibiotics. When class IIa bacteriocins are used, ATP depletion has been thought to result from accelerated consumption of ATP in order to maintain or restore PMF and/or the inability of the cell to produce ATP due to phosphate efflux.[62] It is not known whether immunity proteins have interactions with bacteriocins or whether they can block the pores. Data show that class IIa bacteriocins can provide partial protection against other class IIa bacteriocins (“cross-immunity”). However, there is high homology between class IIa bacteriocins but low homology between the immunity genes. This has been explained by a new model in which the immunity protein acts indirectly with bacteriocins through a receptor.[62]

C.

Class III

Class III bacteriocins are defined as large (.30 kDa) heat-labile proteins. This class may, therefore, include bacteriolytic extracellular enzymes (hemolysins and muramidases) that may mimic the physiological activities of bacteriocins.[87] Class III bacteriocins have so far been isolated only from members of the genus Lactobacillus.[68] Not so many bacteriocins have been grouped into this class (Table 4) mainly because of lack of knowledge about these larger bacteriocins. D.

Class IV

This additional proposed class contains complex bacteriocins with lipid or carbohydrate moieties which appear to be necessary for activity. The existence of class IV is not

Table 4

Class III Bacteriocins Produced by LAB

Bacteriocin

Producing strain(s)

Acidophilucin A Caseicin Helveticin J

Lactobacillus acidophilus Lb. casei B40 Lb. helveticus 481

Helveticin V-1829

Lb. helveticus 1829

Lactacin A Lactacin B

V. Lb. delbrueckii VI. Lb. delbrueckii

Source: Refs. 59, 68.

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Antimicrobial activity Lb. delbrueckii and Lb. helveticus Lb. casei Lb. helveticus, Lb. delbrueckii ssp. bulgaricus and lactis Lb. helveticus and Lb. delbrueckii spp. bulgaricus Lb. delbrueckii ssp. lactis Lb. delbrueckii ssp. bulgaricus and delbrueckii

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Hoang-Dung TRAN and friends generally accepted, as it may include regular peptide bacteriocins that have not been properly purified. Klaenhammer[68] urges caution with this class, and information related to this class is very limited. Therefore, we do not discuss this class here.

VIII.

METHODS FOR STUDYING ANTIMICROBIAL ACTIVITY

Agar well diffusion assay is probably the most commonly used screening method for detection of antimicrobial activity. In this method an indicator strain is inoculated into the agar or plated on the agar and supernatants of potential bacteriocin producers are put into wells cut out of the agar.[88] Positive results from diffusion assay are detectable as clear zones around the wells after overnight incubation. Indicator strains can also be incubated together with supernatants in liquid form, and the result is measured spectrophotometrically or by enumeration of colony-forming units after incubation. In this assay, as well as in agar diffusion assay, used supernatants should be cell-free and pH should be the same in every sample, including the control sample, in order to inhibit the production or presence of organic acids. Usually supernatants are also treated with catalase in order to get rid of hydrogen peroxide. After assays, effective supernatants are selected, and they are treated with proteases (usually at least two, e.g., trypsin and proteinase K). Bacteriocins should lose their activity after protease treatment. If screening has indicated potential bacteriocins, the bacteriocins should be purified (and identified), because it is evident that one type of bacteria can produce more than one bacteriocin.[89,90] New rapid screening methods for the detection of antimicrobial activity have been developed. In one method, indicator organisms are exposed to bacteriocins after staining with carboxyfluorescein diacetate.[91] Fluorescence is measured by flow cytometry, and the effect of bacteriocin is seen as a decrease of fluorescence when the fluorescent compound is leaked out from cells. Our group has used bioluminescent indicator strains in screening of antimicrobial activity. Luciferase genes are transformed into indicator strains, and indicator strains start to produce light in reaction[92] FMNH2 þ O2 þ R-CO-H
! FMN þ R-COOH þ H2 O þ light (490 nm) When bioluminescence is closely linked into the energy metabolism of bacteria, changes in light production are rapid. This increases the sensitivity of the assay and allows for real-time assessment of antimicrobial activity. IX.

SPECIFIC PURIFICATION METHODS FOR BACTERIOCINS

Purification and isolation of bacteriocins is of prime importance for their identification and for studying their mechanisms of action. In addition to the traditional biochemical methods of protein purification; ammonium sulfate precipitation and various forms of chromatography, alternative precipitation methods have been described: Triton X114[93] and chloroform.[94] These methods make use of the hydrophobic or amphiphilic nature of bacteriocins. More specific methods for the isolation of bacteriocins have also been described. By raising the pH of the culture supernatant to about 6, Yang and coworkers[95] induced the adsorption of bacteriocins (nisin, sakacin A, Pediocin PA-1, and Leuconocin Lcm1) to the producer cells. By subsequently reducing the pH to 1.5 –2.0, desorption of the bacteriocins was induced and high yields of pure bacteriocin were

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Hoang-Dung TRAN and friends obtained. Similar adsortion methods have been described using rice hull ash or silicic acid. Maximal adsorption was obtained by incubation at pH 6 – 9, depending on the bacteriocin tested, while desorption was induced by lowering the pH to 2.5– 3.[96]

X.

ADHESION INHIBITORS

Although not antimicrobial per se, substances that inhibit the adhesion to the intestinal mucosa are thought to reduce the ability to colonize the intestine[97] and in that sense affect the survival of the microorganisms in question. Adhesion to a surface is important to bacteria in most environments. It enables them to colonize environments under conditions where they would otherwise be washed away.[98] Due to secretion of fluids and peristaltic movements, the flow in the small intestine is rather high—1– 2 cm/min.[99] Adhesion to the intestinal mucosa is regarded as a prerequisite for colonization of the small intestine. Blocking this adhesion will reduce the chances of survival in the intestine. It has been observed by many workers that whole Lactobacillus spp. and bifidobacteria are able to block the adhesion and invasion of many enteropathogens and uropathogens.[100 – 105] Few reports are available on substances from lactic acid bacteria that inhibit adhesion. Chan and coworkers[100,101] observed that not only whole cells, but also cell fragments from Lactobacillus spp. and a diphteroid organism were able to inhibit the adhesion of gram-negative uropathogens to uroepithelial cells in suspension. Lipoteichoic acids were found to be responsible for the observed inhibition of adhesion. Adhesiveness of the cell fragments and steric hindrance were the major mechanisms of adhesion inhibition. Lactobacillus fermentum has been found to release a high molecular weight component into its spent culture liquid that reduces the adhesion in vitro of K88ac expressing Escherichia coli by at least 50%.[106] The component was concluded to be a cell wall fragment and composed of glucose, N-acetylglucosamine, and galactose.[107] The component was found to be active against all K88 serotypes and SfaII fimbriae. Other Lactobacillus spp. from enteric origin also produced a similar substance.[108] The mechanism of activity was proposed to be specific binding to mucus glycoproteins and blocking of the receptor sites by steric hindrance.[107] Welin[109] subsequently showed that the substance also inhibits the adhesion of K88ac-expressing E. coli to ileal brush borders and reduced its ability to penetrate through ileal mucus in vitro. Several lactic acid bacterium strains have been shown to produce biosurfactants: Streptococcus mitis, Lactobacillus fermentum, and Lactobacillus rhamnosus.[110 – 112] These surfactants exhibited strong adhesive properties against Enterococcus faecalis, Streptococcus mutans, Escherichia coli, Stapylococcus epidermidis, and Candida albicans to various substrata.[110,113] One of the biosurfactants, surlactin, produced by Lb. fermentum RC14, was identified as a 29 kDa protein with close homology to a collagen-binding protein of Lb. reuteri and a surface protein of another Lb. fermentum strain.[112] Other biosurfactants have been identified as glycolipids, most likely rhamnolipids.[110] The surfactants could be isolated from the culture broth at mid-exponential or early stationary phase. It is likely that the surfactants coat the substratum and thereby change the physicochemical properties of it. This, in turn, will interference with the adhesion of the target strains, either inhibiting their adhesion or releasing bound cells.

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XI.

CONCLUSIONS

Due to their fermentative metabolism, lacti acid bacteria produce organic acids, important antimicrobial substances. They are the antimicrobial substances that have been used the longest and most widely and have proven to provide a safe means of preserving foods. Other general antimicrobial substances produced widely by lactic acid bacteria include hydrogen peroxide, carbon dioxide, and diacetyl. A few strains produce specific antimicrobial substances like reuterin and pyroglutamic acid. In addition to these general antimicrobial substances, many strains have been found to produce bacteriocins. These often have a more defined antimicrobial spectrum, ranging from only related strains to a wide variety of gram-positive and gram-negative bacteria. The fact that the ability to produce bacteriocins is so widespread among lactic acid bacteria and that a large amount of their energy is spent on the production, secretion, and immunity of the bacteriocins indicates their ecological significance. The current classification system of bacteriocins will need revision in the future. Instead of a division based on similarities in activity or size, bacteriocins should be classified according to amino acid sequence homology (in analogy to bacterial taxonomy, which is increasingly based on 16 rRNA homology rather than phenotypic characteristics). Such a classification system will also aid in the understanding of the mechanisms of action. There is continued interest in bacteriocins from an applied perspective, as they are thought to have a potential as natural preservatives. However, it remains to be determined whether these substances will be functional in foods or feeds and if they will be produced and be functional in situ. Thus, despite advances in this field, much work remains to be done. REFERENCES 1. Pederson, C.S. Microbiology of Food Fermentations; AVI Publishing Co.: Westport, CT, 1971; 283 pp. 2. Shortt, C. The probiotic century; historical and current perspectives. Trends Food Sci. Technol. 1999, 10, 411– 417. 3. Blom, H.; Mo¨rtvedt, C. Anti-microbial substances produced by food associated microorganisms. Biochem. Soc. Trans. 1991, 19, 694 – 698. 4. Tannock, G.W. Microbial interference in the gastrointestinal tract. ASEAN J. Clin. Sci. 1981, 2, 2 – 34. 5. Govan, J.R.W. In vivo significance of bacteriocins and bacteriocin receptors. Scand. J. Infect. Dis. 1986, 49 (Suppl), 31– 37. 6. Simon, E.W.; Blackman, G.E. The significance of hydrogen-ion concentration in the study of toxicity. Symposia of the Society for Experimental Biology 1949, 3, 253 –265. 7. Suomalainen, T.H.; Ma¨yra¨-Ma¨kinen, A.M. Propionic acid bacteria as protective cultures in fermented milks and breads. Lait 1999, 79, 165 – 174. 8. Eklund, T. The antimicrobial effect of dissociated and undissociated sorbic acid at different pH levels. J. Appl. Bact. 1983, 54, 383 – 389. 9. Rubin, H.E. Toxicological model for a two-acid system. Appl. Env. Microbiol. 1978, 36, 623 – 624. 10. Alakomi, H-L.; Skytta¨, E.; Saarela, M.; Mattila-Sandholm, T.; Latva-Kala, K.; Helander, I.M. Lactic acid permeabilizes gram-negative bacteria by disrupting the outer membrane. Appl. Environ. Microbiol. 2000, 66, 2001– 2005. 11. Cramer, J.A.; Prestegard, J.H. NMR studies of pH-induced transport of carboxylic acids across phospholipid vesicle membranes. Biochem. Biophys. Res. Com. 1977, 75, 295 – 301.

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Cleveland, J.; Montville, T.J.; Nes, I.F.; Chikindas, ML. Bacteriocins: safe, natural antimicrobials for food preservation. Int. J. Food Microbiol. 2001, 71, 1 – 20. Abee, T.; Krockel, L.; Hill, C. Bacteriocins: modes of action and potentials in food preservation and control of food poisoning. Int. J. Food Microbiol. 1995, 28, 169 – 185. Ennahar, S.; Sashihara, T.; Sonomoto, K.; Ishizaki, A. Class IIa bacteriocins: biosynthesis, structure and activity. FEMS Microbiol. Rev. 2000, 24, 85 – 106. McAuliffe, O.; Ross, R.P.; Hill, C. Lantibiotics: structure, biosynthesis and mode of action. FEMS Microbiol. Rev. 2001, 25, 285 – 308. Twomey, D.; Ross, R.P.; Ryan, M.; Meany, B.; Hill, C. Lantibiotics produced by lactic acid bacteria: structure, function and applications. Antonie van Leeuwenhoek 2002, 82, 165 – 185. Hechard, Y.; Sahl, H.G. Mode of action of modified and unmodified bacteriocins from gram-positive bacteria. Biochimie 2002, 84, 545 – 557. Eijsink, V.G.; Axelsson, L.; Diep, D.B.; Havarstein, L.S.; Holo, H.; Nes, I.F. Production of class II bacteriocins by lactic acid bacteria; an example of biological warfare and communication. Antonie Van Leeuwenhoek 2002, 81, 639 – 654. O’Sullivan, L.; Ross, R.P.; Hill, C. Potential of bacteriocin-producing lactic acid bacteria for improvements in food safety and quality. Biochimie 2002, 84, 593 –604. Klaenhammer, T.R. Genetics of bacteriocins produced by lactic acid bacteria. FEMS Microbiol. Rev. 1993, 12, 39– 85. Jack, R.W.; Sahl, H.G. Unique peptide modifications involved in the biosynthesis of lantibiotics. Trends Biotechnol. 1995, 13, 269 – 278. de Vos, W.M.; Kuipers, O.P.; van der Meer, J.R.; Siezen, R.J. Maturation pathway of nisin and other lantibiotics: post-translationally modified antimicrobial peptides exported by gram-positive bacteria. Mol. Microbiol. 1995, 17, 427 – 437. Rogers, L. The inhibiting effect of Streptococcus lactis on Lactobacillus bulgaricus. J. Bacteriology 1928, 16, 321– 325. Mulders, J.W.M.; Boerrigter, I.J.; Rollema, H.S.; Siezen, R.J.; de Vos, W.M. Identification and characterization of the lantibiotic nisin Z, a natural nisin variant. Eur. J. Biochem. 1991, 201, 581–584. Linnett, P.E.; Strominger, J.L. Additional antibiotic inhibitors of peptidoglycan synthesis. Antimicrob. Agents Chemother. 1973, 4, 231 – 236. Reisinger, P.; Seidel, H.; Tschesche, H.; Hammes, W.P. The effect of nisin on murein synthesis. Arch. Microbiol. 1980, 127, 187 – 193. Ruhr, E.; Sahl, H.G. Mode of action of the peptide antibiotic nisin and influence on the membrane potential of whole cells and on cytoplasmic and artificial membrane vesicles. Antimicrob. Agents Chemother. 1985, 27, 841 – 845. Sahl, H.G.; Kordel, M.; Benz, R. Voltage-dependent depolarization of bacterial membranes and artificial lipid bilayers by the peptide antibiotic nisin. Arch. Microbiol. 1987, 149, 120–124. Breukink, E.; Wiedemann, I.; van Kraaij, C.; Kuipers, O.P.; Sahl, H.; de Kruijff, B. Use of the cell wall precursor lipid II by a pore-forming peptide antibiotic. Science 1999, 286, 2361– 2364. Siegers, K.; Entian, K.D. Genes involved in immunity to the lantibiotic nisin produced by Lactococcus lactis 6F3. Appl. Environ. Microbiol. 1995, 61, 1082– 1089. Ra, R.; Beerthuyzen, M.M.; de Vos, W.M.; Saris, P.E.; Kuipers, O.P. Effects of gene disruptions in the nisin gene cluster of Lactococcus lactis on nisin production and producer immunity. Microbiology 1999, 145 (pt 5), 1227– 1233. Jarvis, B.; Farr, J. Partial purification, specificity and mechanism of action of the nisininactivating enzyme from Bacillus cereus. Biochim. Biophys. Acta 1971, 227, 232 – 240. Venema, K.; Venema, G.; Kok, J. Lactococcal bacteriocins: mode of action and immunity. Trends Microbiol. 1995, 3, 299– 303. Harris, L.J.; Fleming, H.P.; Klaenhammer, T.R. Developments in nisin research. Food Res. Int. 1992, 25, 57– 66.

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Martinez, B.; Rodriguez, A.; Suarez, J.E. Lactococcin 972, a bacteriocin that inhibits septum formation in lactococci. Microbiology 2000, 146 (pt 4), 949 – 955. Marugg, J.D.; Gonzalez, C.F.; Kunka, B.S.; Ledeboer, A.M.; Pucci, M.J.; Toonen, M.Y.; Walker, S.A.; Zoetmulder, L.C.; Vandenbergh, P.A. Cloning, expression, and nucleotide sequence of genes involved in production of pediocin PA-1, and bacteriocin from Pediococcus acidilactici PAC1.0. Appl. Environ. Microbiol. 1992, 58, 2360– 2367. Venema, K.; Kok, J.; Marugg, J.D.; Toonen, M.Y.; Ledeboer, A.M.; Venema, G.; Chikindas, M.L. Functional analysis of the pediocin operon of Pediococcus acidilactici PAC1.0: PedB is the immunity protein and PedD is the precursor processing enzyme. Mol. Microbiol. 1995, 17, 515 – 522. Fimland, G.; Blingsmo, O.R.; Sletten, K.; Jung, G.; Nes, I.F.; Nissen-Meyer, J. New biologically active hybrid bacteriocins constructed by combining regions from various pediocin-like bacteriocins: the C-terminal region is important for determining specificity. Appl. Environ. Microbiol. 1996, 62, 3313– 3318. Jack, R.W.; Tagg, J.R.; Ray, B. Bacteriocins of gram-positive bacteria. Microbiol. Rev. 1994, 59, 171– 200. Cintas, L.M.; Rodriguez, J.M.; Fernandez, M.F.; Sletten, K.; Nes, I.F.; Hernandez, P.E.; Holo, H. Isolation and characterization of pediocin L50, a new bacteriocin from Pediococcus acidilactici with a broad inhibitory spectrum. Appl. Environ. Microbiol. 1995, 61, 2643–2648. Anderssen, E.L.; Diep, D.B.; Nes, I.F.; Eijsink, V.G.; Nissen-Meyer, J. Antagonistic activity of Lactobacillus plantarum C11: two new two-peptide bacteriocins, plantaricins EF and JK, and the induction factor plantaricin A. Appl. Environ. Microbiol. 1998, 64, 2269– 2272. Quadri, L.E.; Sailer, M.; Roy, K.L.; Vederas, J.C.; Stiles, M.E. Chemical and genetic characterization of bacteriocins produced by Carnobacterium piscicola LV17B. J. Biol. Chem. 1994, 269, 12204– 12211. Budde, B.B.; Rasch, M.A comparative study on the use of flow cytometry and colony forming units for assessment of the antibacterial effect of bacteriocins. Int. J. Food Microbiol. 2001, 63, 65– 72. Hastings, J.; Baldwin, T.; Nicoli, M. Bacterial luciferase: assay, purification and properties. Methods Enzymol. 1978, 57, 135– 152. Me´tivier, A.; Boyaval, P.; Duffes, F.; Dousset, X.; Compoint, J.-P.; Marion, D. Triton X-114 phase partitioning for the isolation of a pediocin like bacteriocin from Carnobacterium divergens. Lett. Appl. Microbiol. 2000, 30, 42 – 46. Burianek, L.L.; Yousef, A.E. Solvent extraction of bacteriocins from liquid cultures. Lett. Appl. Microbiol. 2000, 31, 193– 197. Yang, R.; Johnson, M.C.; Ray, B. Novel method to extract large amounts of bacteriocins from lactic acid bacteria. Appl. Env. Microbiol. 1992, 58, 3355– 3359. Janes, M.E.; Nannapaneni, R.; Proctor, A.; Johnson, M.G. Rice hull ash and silicic acid as adsorbents for concentration of bacteriocins. Appl. Environ. Microbiol. 1998, 64, 4403– 4409. Finlay, B.B.; Falkow, S. Common themes in microbial pathogenicity revisited. Microbiol. Mol. Biol. Rev. 1997, 61, 136– 169. Zobel, C.E. The effect of solid surfaces upon bacterial activity. J. Bacteriol. 1943, 46, 39 – 56. Tannock, G.W. Normal microflora. An Introduction to Microbes Inhabiting the Human Body; Chapman & Hall: London, 1995; 115 pp. Chan, R.C.Y.; Reid, G.; Irvin, R.T.; Bruce, A.W.; Costerton, J.W. Competitive exclusion of uropathogens from human uroepithelial cells by Lactobacillus whole cells and cell wall fragments. Infect. Immun. 1985, 47, 84– 89. Chan, R.C.Y.; Bruce, A.W.; Reid, G. Adherence of cervical, vaginal and distal urethral normal microbial flora to human uroepithelial cells and the inhibition of adherence of gram-negative uropathogens by competitive exclusion. J. Urol. 1984, 131, 596 – 601.

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Coconnier, M.-H.; Bernet, M.-F.; Chauvie`re, G.; Servin, A.L. Adhering heat-killed human Lactobacillus acidophilus, strain LB, inhibits the process of pathogenicity of diarrhoeagenic bacteria in cultured human intestinal cells. J. Diarrhoeal. Dis. Res. 1993, 11, 235 – 242. Coconnier, M.-H.; Bernet, M.-F.; Kerne´is, S.; Chauvie`re, G.; Fourniat, J.; Servin, A.L. Inhibition of adhesion of enteroinvasive pathogens to human intestinal Caco-2 cells by Lactobacillus acidophilus strain LB decreases bacterial invasion. FEMS Microbiol. Lett. 1993, 110, 299–306. Todoriki, K.; Mukai, T.; Sato, S.; Toba, T. Inhibition of adhesion of food-borne pathogens to Caco-2 cells by Lactobacillus strain. J. Appl. Microbiol. 2001, 91, 184 – 189. Mukai, T.; Assaka, T.; Sato, E.; Mori, K.; Matsumoto, M.; Ohori, H. Inhibition of binding of Helicobacter pylori to the glycolipid receptors by probiotic Lactobacillus reuteri. Cah. Nutr. Die´t. 2002, 32, 105– 110. Blomberg, L.; Henriksson, A.; Conway, P.L. Inhibition of adhesion of Escherichia coli K88 to piglet ileal mucus by Lactobacillus spp. Appl. Env. Microbiol. 1993, 59, 34– 39. Ouwehand, A.C.; Conway, P.L. Purification and characterization of a component produced by Lactobacillus fermentum that inhibits the adhesion of K88 expressing Escherichia coli to porcine ileal mucus. J. Appl. Bact. 1996, 80, 311 –318. Ouwehand, A.C.; Conway, P.L. Specificity of spent culture fluids of Lactobacillus sp. to inhibit adhesion of enteropathogenic fimbriated Escherichia coli cells. Microb. Ecol. Health Dis. 1996, 9, 239– 246. Welin, A. Characteristics of a mucus receptor for K88 fimbriae and surface structures of mucus grown K88 fimbriated Escherichia coli cells. In Dept Gen Marine Microbiol.; Go¨teborg University: Go¨teborg, 1996; 44 pp. van Hoogmoed, C.G.; van der Kuijl-Booij, M.; van der Mei, H.C.; Busscher, H.J. Inhibition of Streptococcus mutans NS adhesion to glass with and without salivary conditioning film by biosurfactant-releasing Streptococcus mitis strains. Appl. Environ. Microbiol. 2000, 66, 659–663. Velraeds, M.M.C.; van der Mei, H.C.; Reid, G.; Busscher, H.J. Physicochemical and biochemical characterization of biosurfactants released by Lactobacillus strains. Colloid. Surface. B. 1996, 8, 51– 61. Heinemann, C.; van Hylckama Vlieg, J.E.T.; Janssen, D.B.; Busscher, H.J.; van der Mei, H.C.; Reid, G. Purification and characterization of a surface-binding protein from Lactobacillus fermentum RC-14 that inhibits adhesion of Enterococcus faecalis 1131. FEMS Microbiol. Lett. 2000, 190, 177 – 180. Velraeds, M.M.C.; van de Belt_Gritter, B.; van der Mei, H.C.; Reid, G.; Busscher, H.J. Interference in initial adhesion of uropathogenic bacteria and yeasts to silicone rubber by a Lactobacillus acidophilus biosurfactant. J. Med. Microbiol. 1998, 47, 1081 –1085. Nes, I.F.; Diep, D.B.; Havarstein, L.S.; Brurberg, M.B.; Eijsink, V.; Holo, H. Biosynthesis of bacteriocins in lactic acid bacteria. Antonie van Leeuwenhoek 1996, 70, 113 – 128. Sahl, H.-G.; Jack, R.W.; Bierbaum, G. Biosynthesis and biological activities of lantibiotics with unique post-translational modifications. Eur. J. Biochem. 1995, 230, 827 – 853. Moll, G.N.; Konings, W.N.; Driessen, A.J. Bacteriocins: mechanism of membrane insertion and pore formation. Antonie van Leeuwenhoek 1999, 76, 185 – 198. Tomita, H.; Fujimoto, S.; Tanimoto, K.; Ike, Y. Cloning and genetic organization of the bacteriocin 31 determinant encoded on the Enterococcus faecalis pheromone-responsive conjugative plasmid pYI17. J. Bacteriol. 1996, 178, 3585– 3593. Ryan, M.P.; Rea, M.C.; Hill, C.; Ross, R.P. An application in cheddar cheese manufacture for a strain of Lactococcus lactis producing a novel broad-spectrum bacteriocin, lacticin 3147. Appl. Environ. Microbiol. 1996, 62, 612 – 619. Contreras, B.G.; De Vuyst, L.; Devreese, B.; Busanyova, K.; Raymaeckers, J.; Bosman, F.; Sablon, E.; Vandamme, E.J. Isolation, purification, and amino acid sequence of lactobin A, one of the two bacteriocins produced by Lactobacillus amylovorus LMG P-13139. Appl. Environ. Microbiol. 1997, 63, 13 – 20.

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Aktypis, A.; Kalantzopoulos, G.; Huis in’t Veld, J.H.; ten Brink, B. Purification and characterization of thermophilin T, a novel bacteriocin produced by Streptococcus thermophilus ACA-DC 0040. J. Appl. Microbiol. 1998, 84, 568 – 576. 121. Worobo, R.W.; Van Belkum, M.J.; Sailer, M.; Roy, K.L.; Vederas, J.C.; Stiles, M.E. A signal peptide secretion-dependent bacteriocin from Carnobacterium divergens. J. Bacteriol. 1995, 177, 3143– 3149. 122. Ennahar, S.; Aoude-Werner, D.; Sorokine, O.; Van Dorsselaer, A.; Bringel, F.; Hubert, J.C.; Hasselmann, C. Production of pediocin AcH by Lactobacillus plantarum WHE 92 isolated from cheese. Appl. Environ. Microbiol. 1996, 62, 4381– 4387.

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12 Lactic Acid Bacteria as a Tool for Enhancing Food Safety by Removal of Dietary Toxins ¨ NEN HANI EL-NEZAMI and HANNU MYKKA University of Kuopio, Kuopio, Finland CAROLYN HASKARD Australian Water Quality Centre, Salisbury, South Australia, Australia SEPPO SALMINEN University of Turku, Turku, Finland EEVA SALMINEN Turku University Hospital, Turku, Finland

I.

INTRODUCTION

There is increasing scientific evidence to suggest that certain dietary components can be used as a preventive tool against a number of health disorders. Conversely, other dietary components, such as toxins present in the food supply, can be a cause of health concern. In the industrialized countries up to 10% of the population may suffer from foodborne diseases annually. The risk of foodborne disease is substantially heightened by biological and chemical contamination in areas where food is produced, processed, and consumed. Population growth and unplanned migration from rural areas results in urban slums, which further increase pollution and consequently the incidence of foodborne diseases. This chapter focuses on a group of natural toxins, the mycotoxins, which are widespread contaminants of many foods and feeds. Aflatoxins, trichothecenes, ochratoxin A, zearalenone, and a-zearalenol are all members of this group, which contains some of the most potent 12 carcinogens known. 397 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends Mycotoxins are produced by naturally occurring fungi that grow on a wide variety of grains and nuts. When these contaminated primary products are consumed by farm animals, contamination of animal products can also occur. Mycotoxins are of great concern because of their detrimental effects on the health of humans and animals. These toxins have both acute and long-term toxicity. Once activated metabolically, many mycotoxins can become carcinogenic, mutagenic, teratogenic, and immunosuppressive in nature.[1] Mycotoxins are also responsible for substantial financial losses[2] in a broad spectrum of rural industries. These losses arise from downgrading or destruction of contaminated crops, cracking of cheeses, and impaired growth and feed efficiency of animals fed contaminated feeds. Mycotoxin levels can be significantly lowered by well-planned strategies, but usually cannot be completely eliminated. Some strategies reported in the scientific literature are clearly more effective and useful than others, but no commercially satisfactory method is available.[3] Hence, there is a great demand for suitable strategies to detoxify contaminated products and mitigate the impact of existing contamination in foods and feeds. A very attractive opportunity for intervention to reduce exposure to dietary mycotoxins is presented by the bacterial strains we have identified. Two such strains, Lactobacillus rhamnosus strain GG (Lb. rhamnosus GG) and Lactobacillus rhamnosus strain LC-705 (Lb. rhamnosus LC705), have been extensively studied and are shown to have the greatest aflatoxin-removal capacity described to date. These strains of lactic acid bacteria (LAB) are currently used in food products and present a potential costeffective and commercially viable approach to detoxifying aflatoxin-contaminated products. Information on their ability to remove aflatoxins and other mycotoxins both in vitro and in vivo is an area of rapid development. The application of this technology to industry and the development of functional foods may form important areas of detoxification and decontamination biotechnology in the future.

II.

BINDING OF MYCOTOXINS BY LACTIC ACID BACTERIA

Several years ago a number of strains of lactic acid bacteria were selected, on the basis of their acclaimed health benefits and related properties, and tested for their detoxification potential. Some strains proved highly effective in removing aflatoxin B1 (AFB1) in model systems. It was found, however, that in a given genus and even within a given species, not all strains were equivalent in terms of toxin binding. Unlike the removal of other dietary mutagens by lactic acid bacteria,[4] the capacity for AFB1 removal was a characteristic of only specific strains, with efficacy varying markedly.[5 – 9] The results also indicated that aflatoxins are not removed from solution by bacterial metabolism, but rather are bound to the bacteria. Similar results were reported by Oatley et al.,[10] where bifidobacteria bound from 25% to nearly 60% of the AFB1 added. Bacterial concentrations must exceed 109 bacteria/mL for effective removal of AFB1.[6] The total number of AFB1 molecules that can be bound to a single viable bacterium has been estimated to exceed 107. Besides AFB1, the binding of other aflatoxins—AFB2, AFB2a, AFM1, AFM2, AFG1, AFG2—have also been studied.[11 – 13] In general, these aflatoxins are not bound as effectively as the more toxic and more commonly found AFB1. Another mycotoxin, ochratoxin A, was also removed (36 – 76%) by Lb. rhamnosus GG and Lb. rhamnosus LC705, but not as effectively as AFB1 (77 – 92%).[4]

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Hoang-Dung TRAN and friends In another study we have investigated the ability of selected strains of Lactobacillus and Propionibacterium to remove common Fusarium toxins, “trichothecenes,” from liquid media.[14] The trichothecenes studied were deoxynivalenol (DON), 3-acetyldeoxynivalenol (3-AcDON), nivalenol (NIV), fusarenon (FX), diacetoxyscirpenol (DAS), T-2 and HT-2 toxins. The bacteria, Lb. rhamnosus GG, Lb. rhamnosus LC705, and P. freudenreichii ssp. shermanii JS were incubated in PBS-buffer containing 20 mg of toxin/mL for one hour at 378C, and after centrifugation the concentration of the toxins in the supernatant fraction was measured. Both viable and heat-killed forms of Lb. rhamnosus GG and P. freudenreichii ssp. shermanii JS were more efficient than Lb. rhamnosus LC705 in removing the toxins from liquid media. Lb. rhamnosus GG and P. freudenreichii ssp. shermanii JS removed four of the seven tested toxins (the percentage of removal varying from 18 to 93%) and Lb. rhamnosus LC705 removed two toxins (in 10– 64%). While DAS was removed by all three bacteria, 3-AcDON was not removed by any of the bacteria, and HT-2 was not removed by nonviable Lb. rhamnosus GG and was only slightly removed by nonviable Lb. rhamnosus LC705. Binding is postulated as the mechanism of the removal, since no difference was observed between the ability of viable and heat-killed bacteria to remove trichothecenes and no degradation products of the toxins were detected in the gas chromatography– mass spectrophotometric analysis. It is concluded that significant differences exist in the ability of the bacteria to bind trichothecenes in vitro. The interaction between another two Fusarium mycotoxins, zearalenone (ZEN) and its derivative a-zearalenol (a-ZOL), and two food-grade strains of Lactobacillus has also been investigated.[15] The mycotoxins (2 mg/mL) were incubated with either Lb. rhamnosus GG or Lb. rhamnosus LC705. A considerable proportion (38 – 46%) of both toxins was recovered from the bacterial pellets. No degradation products were detected in the high-performance liquid chromatograms of either the supernatant of the culturing media or the methanol extract of the pellet. Both heat-killed and acid-killed bacteria were capable of removing the toxins, indicating that binding, not metabolism, is the mechanism by which the toxins are removed from the media. Binding of ZEN or a-ZOL by lyophilized Lb. rhamnosus GG and Lb. rhamnosus LC705 was a rapid reaction, with approximately 55% of the toxins being bound directly after mixing with the bacteria. As expected, binding was dependent on the bacterial concentration. Co-incubation of ZEN and a-ZOL with the bacteria significantly affected the percentage of toxin bound, indicating that these toxins may share the same binding site.

III.

MYCOTOXIN-REMOVAL MECHANISMS

Elucidation of the binding mechanism involved here is of crucial importance for the safe use of this novel detoxification approach in the food and feed processing methods. The broad location of the bacterial binding sites and the types of interactions involved have been identified for AFB1.[12,16,17] AFB1 appears to bind to the bacterial surface of both Lb. rhamnosus GG and Lb. rhamnosus LC705.[17] This was indicated by the accessibility of bound AFB1 to a polyclonal anti-AFB1 antibody in an indirect competitive inhibition enzyme-linked immunosorbent assay (ELISA). The recovery of up to 99% of bound AFB1 from the bacteria by solvent extraction[17] is further evidence for bacterial surface binding. Transmission electron microscopy has shown that exopolysaccharides are present for both strains when optimal binding occurs. Judging by the effects of pronase E, lipase, and m-periodate on binding,[12] it is suggested that the binding occurs predominantly with carbohydrate and protein components. The effect of the antihydrophobic agent urea on binding

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Hoang-Dung TRAN and friends also suggests that hydrophobic interactions are important.[12] Studies over a range of ionic strength (up to 3), using monovalent (NaCl) and divalent (CaCl2) metal ions, and a range of pH (2.5–8.5), showed no substantial effects on AFB1 binding,[12] implying that electrostatic interactions and hydrogen bonding do not play a major role. An understanding of the stability of the complexes formed between bacteria and AFB1 is also critical for safe implementation of this detoxification approach. The stability of the AFB1 complexes formed with 12 bacterial strains, in both viable and nonviable (heat- or acid-killed) forms, was assessed by repetitive aqueous extraction.[17] After five extractions a significant amount of AFB1 remained bound, with nonviable bacteria retaining the highest amount of AFB1. Autoclaving and sonication did not release any detectable AFB1. Variation in temperature (4 – 378C) and pH (2 –10) did not have any significant effect on the amount of AFB1 released. In all cases binding is of a reversible nature and the stability of the complexes formed depends on the bacterial strain, bacterial treatment, and environmental conditions. The reported binding method constitutes a potential cost-effective and commercially viable approach to detoxifying mycotoxin-contaminated products by employing lactic acid bacteria strains currently used in food products. The method has been tested both under laboratory conditions[6,8] and in food products.[11,13] We are currently applying this approach to develop an industrial method for removing mycotoxins from contaminated liquid products, such as milk and oils.[11,14,15] This method employs an immobilized form of viable or nonviable bacteria. However, certain mechanistic considerations need to be investigated before this biotechnology is applied in practice (Fig. 1). For example, there is a need to investigate (a) the maximal mycotoxin binding per bacterium, (b) the structural requirements for this binding, and (c) the variation in the extent of mycotoxin binding over a range of conditions.

IV.

ANIMAL STUDIES

The above in vitro results led to an investigation of the ability of selected strains to bind AFB1 in vivo, and to testing whether the strength of binding was sufficient to reduce AFB1 bioavailability. Lb. rhamnosus GG, Lb. rhamnosus LC705, and P. freudenreichii ssp. shermanii JS proved capable of reducing the absorption of AFB1 from ligated duodenal loops of 1-week old chickens. This was indicated by a reduced content of AFB1 in the soluble fraction of the luminal fluid, reduced mucosal uptake of AFB1, and increased content of AFB1 in the bacterial pellet of the luminal fluid.[18] The finding was significant, as it indicated a potential reduction in the bioavailability of AFB1 through a reduction in its absorption via the intestinal mucosa. The complex formed between the bacteria and AFB1 was stable under luminal conditions for a period of 1 hour. The results suggest that dietary decontamination can be accomplished by the addition of specific nonviable probiotic lactic acid bacteria to animal feeds, enabling the binding of aflatoxin in the gastrointestinal tract and its removal via the feces, without harmful effects on the host animal. Such an approach could easily be adapted for use in poultry and other feeds with potential benefits in terms of the enhanced productivity of noncontaminated animals and the production of noncontaminated food products. It will be of great importance to confirm these in vivo findings by conducting experiments under farm conditions, i.e., by introducing both aflatoxin and bacteria via the normal route of exposure (Fig. 2). Aflatoxin levels in blood and organs that are targets for aflatoxin

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Figure 1 In vitro studies required to identify and explain the interactions between lactic acid bacteria and mycotoxins.

toxicity will need to be ascertained in order to establish the effect of these bacteria on aflatoxin bioavailability. V.

HUMAN STUDIES

A clinical pilot trial was carried out in Egypt to investigate the effect of a probiotic preparation containing both Lb. rhamnosus LC705 and P. freudenreichii ssp. shermanii JS on the levels of AFB1 in human fecal samples.[19] Fecal sampling was the only practical sampling method for this field study, and fecal levels of AFB1 are thought to reflect

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Hoang-Dung TRAN and friends

Figure 2 Animal and human studies needed prior to the development of functional food/feed products to be utilized in the reduction or elimination of carcinogenic and toxic effects caused by dietary mycotoxins.

exposure. Twenty normal healthy volunteers were selected and randomized into two groups of 10. The study was divided into three stages: baseline period (1 week), supplementation period (2 weeks), and follow-up period (1 week). During the baseline period the subjects consumed their normal diets and gave two fecal samples (in the beginning and at the end). During the supplementation period two fecal samples (after the first and second

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Hoang-Dung TRAN and friends supplementation week) were collected. During the follow-up period a fecal sample was collected at the end of the week. The fecal samples of 11 of the volunteers were positive for AFB1, with levels ranging between 1.8 and 6 mg AFB1/kg feces. For volunteers who were administered the probiotic preparation, there was a significant reduction in the level of AFB1 after the second week of the trial, a reduction that continued during the follow-up period. There was no difference in the consumption of foods known to be sources of exposure to AFB1 between the group receiving the treatment and the control group. These results suggest that the probiotic strains used in this trial have the ability to influence the fecal content of AFB1. Clinical studies are currently underway in China in a population exposed to aflatoxins to further assess the possibility to prevent absorption of ingested aflatoxins by dietary probiotics.

VI.

POTENTIAL HEALTH BENEFITS OF LACTIC ACID BACTERIA IN THE CONTEXT OF THIS APPROACH

During recent years a number of research reports have focused on lactic acid bacteria, in particular lactobacilli and bifidobacteria, which are used for the production of yogurt and various fermented milk products. It is generally accepted by consumers that such bacteria, when present in fermented dairy foods, have beneficial effects on health. Scientific evidence shows that specific strains of probiotic bacteria have well-documented health effects in humans. Probiotic bacteria are microorganisms that have a beneficial effect on intestinal function and promote health. Over recent years dietary use of probiotic bacteria has gained popularity. Human intestinal microbiota is influenced by diet and microbiota, which in turn may influence our health. Intestinal bacteria contribute to mucosal integrity, metabolism, and immune status, both locally and systemically. For successful use, generally probiotic bacteria must survive in the environment in which they are intended to act and must reach the small intestine or colon alive. Such bacteria are considered safe,[20,21] and some even possess health benefits when they are nonviable.[22] Probiotic bacterial strains used in mycotoxin detoxification can also have other beneficial health effects. For example, there is promising research suggesting that Lb. rhamnosus strain GG can decrease the risk of bowel cancer,[23] a major health problem in industrialized countries associated with diets high in animal protein, high in fat, and low in fiber. The most convincing evidence thus far has been received on Lactobacillus casei Shirota. Several mechanistic studies reported decreased urinary mutagen excretion and potential influence on absorption of toxins and harmful compounds after use of this strain. In clinical studies the prophylactic effects of oral administration of Lb. casei Shirota on the recurrence of superficial bladder cancer have been reported in Japan.[27] Recently, a large Japanese case-control study on the habitual intake of lactic acid bacteria and risk reduction of bladder cancer was conducted in the specific setting of home delivery of the product.[28] The results suggested that habitual intake of milk fermented with this strain reduces the risk of bladder cancer in the Japanese population. This result, combined with the mechanistic work and human studies, warrants further investigation in other countries and also to gain an understanding of the probiotic-toxin relationship in the gut. It is important that the bacteria used are of human origin, occurring naturally in normal human intestinal microbiota. Thus, modulation of the intestinal microbiota may offer one tool for reducing risks related to food contamination in the future.

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Hoang-Dung TRAN and friends Persistence in the intestine appears to be correlated with strong adhesion. Our screening studies suggest that a correlation exists between strong aflatoxin binding and strong adherence to the human intestinal tract, to intestinal epithelial cells, and to mucin secreted by the intestinal mucosa. Bacteria possessing good adherence properties in in vitro adhesion models, such as Caco-2 and human intestinal mucus glycoprotein, have been reported to lose this property when aflatoxin is bound.[24] This is important when considering applications in animals and humans, as contact with the intestinal mucosa is significantly shortened when either viable or nonviable bacterial cells have bound aflatoxins or other mycotoxins.

VII.

FUNCTIONAL FOODS

In addition to their potential for in vitro detoxification or in vivo detoxification in animals, these bacteria possess great potential for the development of functional foods or effective dietary supplements for detoxification. By the incorporation of these probiotic bacteria into foods, health benefits can be achieved and functional foods developed.[20,21] The animal studies conducted suggest that lactic acid bacteria in a nonviable form can be applied to animal feeds to prevent the negative effects of mycotoxins in meat, egg, and dairy production by binding dietary mycotoxins and removing them from the body. A similar approach can potentially be used for human dietary treatment in areas with heavy mycotoxin contamination. Further studies should be conducted to apply this biotechnology to commercial animal feeds and the development of functional food products. VIII.

STUDIES ON TOXIN BINDING AND PROBIOTICS

Recent reports have increased the knowledge of bifidobacteria and their ability to bind mycotoxins. This may be an important area of research, especially in mycotoxincontaminated areas where even human breast milk may contain significant amounts of aflatoxin or other toxins.[25] As bifidobacteria form 60– 90% of the total healthy infant microbiota, members of this species may offer an important novel means of decontaminating the diet of breast-fed or formula-fed infants in areas of environmental mycotoxin contamination. Recent work has also focused on the ability of lactic acid bacteria and bifidobacteria to bind heavy metals from the diet. In vitro studies show efficacy in such decontamination for specific strains of probiotic bacteria.[29] The removal of this new group of contaminants from foods and feeds needs further assessment and characterization. It also emphasizes the potential use of lactic acid bacteria and bifidobacteria in such applications and a need for rapid development of such biotechnology using already accepted food-grade microbial ingredients. IX.

CONCLUSION

The results reported suggest potential means of reducing the bioavailability of toxins from contaminated feeds, either by incorporation of specific bacteria into feeds or by inoculation of such bacteria into animals at birth. Development of this approach opens up prospects of reducing the bioavailability of food toxins and thus modifying their toxicity to animals. The practical application of the approach described requires further investigation, e.g., into the effects of food and feed matrices on the ability of the bacteria

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REFERENCES 1. 2. 3. 4. 5. 6. 7.

8. 9. 10. 11.

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Hussein, H.S.; Brasel, J.M. Toxicity, metabolism, and impact of mycotoxins on humans and animals. Toxicology 2001, 167, 101– 134. Charmley, L.L.; Trenholm, L.; Prelusky, D.; Rosenberg, A. Economic losses and decontamination. Nat. Toxins 1995, 3, 199–203. Park, D.L. Perspectives on mycotoxin decontamination procedures. Food Addit. Contam. 1993, 10, 49– 60. Turbic, A.; Ahokas, J.T.; Haskard, C.A. Selective in vitro binding of dietary mutagens, individually or in combination, by lactic acid bacteria. Food Add. Cont. 2002, 19, 144 – 152. El-Nezami, H.S.; Salminen, S.; Ahokas, J.T. Biologic control of food carcinogen using Lactobacillus GG. Nutr. Today 1996, 31, 41 – 43. El-Nezami, H.S.; Kankaanpa¨a¨, P.E.; Salminen, S.; Ahokas, J.T. Ability of dairy strains of lactic acid bacteria to bind food carcinogens. Food Chem. Toxicol. 1998a, 36, 321 – 326. El-Nezami, H.S.; Kankaanpa¨a¨, P.E.; Salminen, S.; Ahokas, J.T. Physico-chemical alterations enhance the ability of dairy strains of lactic acid bacteria to remove aflatoxins from contaminated media. J. Food Prot. 1998b, 61, 466 –468. Peltonen, K.; El-Nezami, H.; Salminen, S.; Ahokas, J.T. Binding of aflatoxin B1 by probiotic bacteria. J. Sci. Food Agr. 2000, 80, 1942– 1945. Peltonen, K.; El-Nezami, H.; Haskard, C.; Ahokas, J.; Salminen, S. Aflatoxin B1 binding by dairy strains of lactic acid bacteria and bifidobacteria. J. Dairy Sci. 2001, 84, 2152– 2156. Oatley, J.T.; Rarick, M.D.; Ji, G.E.; Linz, J.E. Binding of aflatoxin B1 to Bifidobacteria in vitro. J. Food Prot. 2000, 63, 1133– 1136. El-Nezami, H.; Haskard, C.; Salminen, E.; Mykka¨nen, H.; Ahokas, J.; Salminen, S. Lactic acid bacteria and bifidobacteria can reduce dietary exposure to aflatoxins. Br. J. Nutr. 2002c, 88, S115– S116. Haskard, C.; Binnion, C.; Ahokas, J. Factors affecting the sequestration of aflatoxin by Lactobacillus rhamnosus strain GG. Chemico-Biol. Inter. 2000, 128, 39 – 49. Pierides, M.; El-Nezami, H.; Peltonen, K.; Salminen, S.; Ahokas, J. Ability of dairy strains of lactic acid bacteria to bind aflatoxin M1 in a food model. J. Food Prot. 2000, 63, 645 – 650. El-Nezami, H.S.; Chrevatidis, A.; Auriola, S.; Salminen, S.; Mykka¨nen, H. Removal of common Fusarium toxins in vitro by strains of Lactobacillus and Propionibacterium. Food Addit. Contam. 2002a, 19, 680– 686. El-Nezami, H.S.; Polychronaki, N.; Salminen, S.; Mykka¨nen, H. Binding rather than metabolism may explain the interaction of two food grade Lactobacillus strains with zearalenone and its derivative a-zearalenol. Appl. Environ. Microbiol. 2002b, 68, 3545–3549. Haskard, C.A.; El-Nezami, H.S.; Peltonen, K.D.; Salminen, S.; Ahokas, J.T. Sequestration of aflatoxin B1 by probiotic strains: binding capacity and localisation. Revue Me´d. Ve´t. 1998, 149, 571. Haskard, C.; El-Nezami, H.; Kankaanpa¨a¨, P.; Salminen, S.; Ahokas, J.T. Surface binding of aflatoxin B1 by lactic acid bacteria. Appl. Environ. Microbiol. 2001, 67, 3086– 3091.

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El-Nezami, H.S.; Mykka¨nen, H.; Kankaanpa¨a¨, P.; Salminen, S.; Ahokas, J.T. Ability of Lactobacillus and Propionibacterium strains to remove aflatoxin B, from the chicken duodenum. J. Food. Prot. 2000a, 63, 549 – 552. El-Nezami, H.S.; Mykka¨nen, H.; Kankaanpa¨a¨, P.; Suomalainen, T.; Ahokas, J.T.; Salminen, S. The ability of a mixture of Lactobacillus and Propionibacterium to influence the faecal recovery of aflatoxins in healthy Egyptian volunteers: a pilot clinical study. Biosci. Microflora 2000b, 19, 41– 45. Salminen, S.; Bouley, M.C.; Boutron-Rualt, M.C.; Cummings, J.; Franck, A.; Gibson, G.; Isolauri, E.; Moreau, M.-C.; Roberfroid, M.; Rowland, I. Functional food science and gastrointestinal physiology and function. Br. J. Nutr. 1998a Suppl., 1, 147 – 171. Salminen, S.; von Wright, A.; Morelli, L.; Marteau, P.; Brassard, D.; de Vos, W.; Fonde´n, R.; Saxelin, M.; Collins, K.; Mogensen, G.; Birkeland, S.-E.; Mattila-Sandholm, T. Demonstration of safety of probiotics—a review. Int. J. Food Microbiol. 1998b, 44, 93 – 106. Ouwehand, A.C.; Salminen, S.J. The health effects of viable and non-viable cultured milks. Int. Dairy J. 1998, 8, 749– 758. Goldin, B. The metabolic activity of the intestinal microflora and its role in colon cancer. Nutr. Today 1996 Suppl., 31, 24S– 27S. Kankaanpa¨a¨, P.; Tuomola, E.; El-Nezami, H.; Ahokas, J.T.; Salminen, S. Binding of aflatoxin B1 alters the adhesion properties of Lactobacillus rhamnosus strain GG in a Caco-2 model. J. Food Prot. 2000, 63, 412– 414. El-Nezami, H.S.; Nicoletti, G.; Neal, G.E.; Donohue, D.; Ahokas, J.T. Aflatoxin M1 in human breast milksamples from Victoria, Australia and Thailand. Food Chem. Toxicol. 1995, 33, 173– 179. Shane, S.M. Economic significance of mycotoxicoses. In Mycotoxins, Cancer and Health; Bray, O., Ryan, D., Eds.; Louisiana State University Press: Baton Rouge, 1991; 53 – 64. Aso, Y.; Kotake, T.; Tsukamoto, T.; Imai, K.; Naito, S. Preventive effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer in a double-blind trial. Eur. Urol. 1995, 27, 104– 109. Ohashi, Y.; Nakai, S.; Tsukamoto, T.; Masumori, N.; Akaza, H.; Miyanaga, N.; et al. Habitual intake of lactic acid bacteria and risk reduction of bladder cancer. Urol. Int. 2002, 68, 273 – 280. Halttunen, T.; Kankaanpa¨a¨, P.; Ouwehand, A.; Tahvonen, R.; Salminen, S. Cadmium decontamination by lactic acid bacteria. Bioscience and Microflora 2003, 22, 93 – 97.

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Hoang-Dung TRAN and friends

13 Prebiotics and Lactic Acid Bacteria THEA SCANTLEBURY MANNING, ROBERT RASTALL, and GLENN GIBSON The University of Reading, Reading, England

I.

INTRODUCTION

Biological functions of the human large intestine include waste storage and the absorption of water as well as essential minerals. However, because of a slow transit time, near-neutral pH and substrate availability, the colon harbors a very complex and diverse bacterial microflora.[1] The bacterial microbiota in the human large intestine is thought to compromise 95% of the total cells in the body, representing 1012 cells/g dry weight contents. Through the activities of the resident microflora, the colon plays a major role in host nutrition and welfare.[2] Dietary modulation of the human gut flora can be of great benefit to health. In recent years, the functional food concept has moved away from mineral and vitamin supplementation towards the situation where improved gut (microbial) functionality is the main current driving force. The colon is the most intensely populated region of the gastrointestinal tract and is therefore the main target for such dietary intervention. The resident gut microbiota ferments a range of substances, mainly provided by the diet, that cannot be digested by the host in the small gut and are available for fermentation by the colonic microflora. These include resistant starch, nonstarch polysaccharides (dietary fiber), oligosaccharides, proteins, amino acids, etc. In a typical adult, around 80 g of food ingested each day reaches the large intestine and is therefore susceptible to fermentation by the gut flora. The two main types of fermentation that are carried out in the gut are saccharolytic and proteolytic. The main end products of carbohydrate metabolism are the short-chain fatty acids, acetate, propionate, and butyrate. These may be further metabolized systemically or locally to provide energy generation for the host. The end products of proteolytic fermentation include phenolic compounds, amines, and ammonia, all of which are toxic. The proximal colon (right side) is essentially a site of saccharolytic fermentation, whereas the more distal (left side) sees more proteolytic fermentation. 407 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends Dietary modulation of the human gut microbiota is a topical area of nutritional sciences. This is driven by the fact that the gastrointestinal tract, particularly the colon, is very heavily populated. Undoubtedly, certain gut species are pathogenic and may be involved in the onset of acute and chronic disorder. Bifidobacteria and lactobacilli are considered to be examples of health-promoting constituents of the microflora. Lactobacilli may aid digestion of lactose in lactose-intolerant individuals, reduce constipation and infantile diarrhea, help resist infections such as salmonellae, prevent traveller’s diarrhea, and help in irritable bowel syndrome (IBS).[3] Bifidobacteria are thought to stimulate the immune system, produce B vitamins, inhibit pathogen growth, reduce blood ammonia and blood cholesterol levels, and help to restore the normal flora after antibiotic therapy.[4] Health-promoting effects of the microflora may include immunostimulation, improved digestion and absorption, vitamin synthesis, inhibition of the growth of potential pathogens, cholesterol reduction, and lowering of gas distension.[4] Harmful effects are carcinogen production, intestinal putrefaction, toxin production, diarrhea/constipation, liver damage, and intestinal infection. However, most bacteria in the gut are benign, with the possibility that some groups are beneficial. Bifidobacteria and lactobacilli are thought to belong to this latter category and are common targets for dietary intervention that improves health.

II.

GENERAL ASPECTS OF PREBIOTICS

Dietary modulation of the human gut flora has been carried out for many years. In humans there are positive aspects to the gut fermentation which may improve certain aspects of host health. The microflora contains certain bacteria that can be perceived as health promoting as well as pathogenic. For instance, bifidobacteria and lactobacilli may help to improve resistance to gut infections by inhibiting the growth of harmful microorganisms (that may onset both acute and chronic gut disorder), reduce blood lipid levels, improve the immune response, and be involved in protection against gut cancers.[2,5] The definitive health outcomes and their mechanisms of effect are being gradually uncovered, and there is currently much interest in increasing numbers and activities of these bacteria in the large gut, preferably at the expense of more harmful species. The manner in which this can be achieved is through dietary supplementation. An alternative approach has been investigated where the commensal bifidobacteria and/or lactobacilli are selectively promoted by the intake of certain nonviable substrates, known as prebiotics. Gibson and Roberfroid[4] first described a prebiotic as a “nondigestible food ingredient that beneficially affects the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria in the colon, and thus improves host health.” As diet is the main factor controlling the intestinal microflora, it is possible to modulate the microflora composition through foods. A prebiotic substrate is selectively utilized by beneficial components of the indigenous gut flora but does not promote growth of potential pathogens such as toxin producing clostridia, proteolytic bacteroides and toxigenic Escherichia coli. In this manner, a “healthier” microflora composition is obtained whereby the bifidobacteria and/or lactobacilli become predominant in the intestine and exert possible health-promoting effects (similar to the situation that prevails in the breast fed infant gut). For a dietary substrate to be classed as a prebiotic, three criteria are required: (a) the substrate must not be hydrolyzed or absorbed in the stomach or small intestine, (b) it must be selective for beneficial commensal bacteria in the colon such as the bifidobacteria, and (c) the substrate should induce beneficial luminal/systemic effects within the host.

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Hoang-Dung TRAN and friends A range of substrates of dietary origin, or produced by the host, are available for fermentation by the colonic microflora. Through diet, resistant starch (RS) is the most quantitatively important.[6] Nonstarch polysaccharides (NSP) form the next largest contribution and include plant-derived substrates such as pectin, cellulose, hemicellulose, guar, and xylan. Sugars and oligosaccharides like lactose, lactulose, raffinose, stachyose, and fructo-oligosaccharides also escape absorption in the small intestine and are metabolized by species of colonic bacteria. Mucin glycoproteins produced by goblet cells in the colonic epithelium are predominant endogenous substances fermented in the colon. Related mucopolysaccharides such as chondroitin sulfate and heparin and pancreatic and bacterial secretions are also available for the intestinal microflora.[7] Finally, proteins and peptides originating in the diet, in pancreatic secretions, or produced by bacteria are also available in the colon,[8] although to a lesser extent than the carbohydrates. The premise behind prebiotics is therefore to stimulate certain indigenous bacteria in the gut rather than introducing exogenous species, as is the case with probiotics. Ingesting a diet containing nondigestible carbohydrates that are selectively fermented by indigenous beneficial bacteria is the prebiotic principal. Any dietary component that reaches the colon intact is a potential prebiotic, but much of the interest in the development of prebiotics is aimed at nondigestible oligosaccharides such as fructooligosaccharides (FOS), transgalactooligosaccharides (TOS), isomaltooligosaccharides (IMO), xylooligosaccharides (XOS), soyoligosaccharides (SOS), glucooligosaccharides (GOS), and lactosucrose. On the contrary, it may be possible to intake prebiotics more naturally through the diet. Many fruit and vegetables contain prebiotic oligosaccharides such as FOS. Examples are onion, garlic, banana, asparagus, leek, Jerusalem artichoke. However, the likely situation is that levels are too low to have any significant effect. Our (unpublished) data indicate that at least 4 g/d but more preferably 8 g/d of FOS would be needed to significantly elevate bifidobacteria in the human gut. Hence, there exists much value in the approach of dietary fortification. As the majority of bacteria resident in the gut microbiota are present in the colon, prebiotics are usually directed towards lower gut bacteriology. Any dietary material that enters the large intestine is a candidate prebiotic. This includes carbohydrates such as resistant starch and dietary fiber as well as proteins and lipids. However, current prebiotics seem to be confined to oligosaccharides that are non-digestible in the upper gut and seem to confer the degree of fermentation selectivity required, e.g., directed towards bifidobacteria. Oligosaccharides are sugars consisting of between approximately 2 and 20 saccharide units, i.e., they are short-chain polysaccharides. Some occur naturally in several fruits and vegetables and are extractable, while others can be commercially produced through the hydrolysis of polysaccharides (e.g., dietary fibers, starch) or through enzymatic generation. The following oligomers have been suggested as having prebiotic potential:[9]

Lactulose Fructooligosaccharides Galactooligosaccharides Soybean oligosaccharides Lactosucrose Isomaltooligosaccharides Glucooligosaccharides Xylooligosaccharides Palatinose

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A.

Structure-Function Relationships

The list of recognized prebiotics represents a wide range of carbohydrate chemistry. Despite this, we still have very little understanding of the structure-function relationships in these molecules. Moreover, we do not have good comparative data on their fermentation properties (particularly at a microbial species level), and there is no predictive ability with respect to new carbohydrate structures isolated or synthesized. This is likely to hamper new product development based around the concept. The prebiotic properties of carbohydrates are likely to be influenced by the following factors: 1.

2.

3.

B.

Monosaccharide composition: Recognized prebiotics are primarily built from glucose, galactose, xylose, and fructose. The prebiotic potential of oligosaccharides composed of other monosaccharides such as arabinose, rhamnose, glucosamine, and galacturonic acid is not known at the present time. Glycosidic linkage: The linkage between the monosaccharide residues is a crucial factor in determining both selectivity of fermentation and digestibility in the small intestine. The current paradigm for the selective fermentation of prebiotics is the cell-associated b-fructofuranosidase isolated from bifidobacteria. If this model holds true for other oligosaccharides and bacteria, then the linkage specificity of the glycosidases will be very important. Maltose is not recognized as prebiotic and is metabolized by the human intestinal brush border glycosidases. Isomaltose and isomaltooligosaccharides, however, are prebiotic. Both are composed of a-glucosyl linkages, but the 1 –6 linkage in the IMO renders them partially resistant to metabolism in the small intestine and confers selectivity of fermentation in the colon. Molecular weight: Generally speaking, polysaccharides are not prebiotic.[10] Conversely, all known prebiotics have low molecular weight. Inulin has the highest molecular weight, but most of the carbohydrate in inulin has a degree of polymerization (DP) of ,25, with an average around DP 14.[11] The effect of molecular weight on prebiotic properties can be seen from the fact that xylan is not selective, whereas xylooligosaccharides are.[12,13] Olano-Martin and coworkers have investigated this effect in more detail and found an increase in selectivity upon hydrolysis of dextran to IMO[14] and upon hydrolysis of pectins to pectic oligosaccharides.[15] The precise relationship between molecular weight and selectivity is not known at the present time for any polysaccharide/ oligosaccharide system.

Increased Molecular Weight

Most current prebiotics are of relatively small DP, the exception being inulin. As discussed above, it is believed that the oligosaccharides must be hydrolyzed by cell-associated bacterial glycosidases prior to uptake of the resultant monosaccharides. It is, therefore, reasonable to assume that the longer the oligosaccharide, the slower the fermentation and hence the further the prebiotic effect will penetrate throughout the colon. For example, long-chain inulin may exert a prebiotic effect in more distal colonic regions than the lower molecular weight FOS, which may be more quickly fermented in the saccharolytic proximal bowel. This approach has led to industrial forms of inulin/FOS mixtures with controlled chain length distributions (“Synergie II,” manufactured by Orafti, Tienen,

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Hoang-Dung TRAN and friends Belgium), which in theory should persist further in the hindgut. This approach might have great promise for making more persistent prebiotics.

C.

Potential Food Applications

The current concept of a prebiotic is an oligosaccharide that is selectively fermented by bifidobacteria and lactobacilli.[4] Due to the difficulties of characterizing the colonic microflora at the species level, virtually all of the data on prebiotic properties of oligosaccharides are on microflora changes at the genus level. It would, however, be highly desirable to develop prebiotics targeted at particular species of Bifidobacterium and Lactobacillus. Such targeted prebiotics might be considered for several applications: 1.

2.

3.

Synbiotics with defined health benefits: Many probiotic strains have been developed to have particular health benefits such as immune stimulation or anti-pathogen activity. In addition, commercial probiotic strains are selected for their survival characteristics such as resistance to acid and bile and their ability to be freeze-dried.[16,17] Availability of prebiotics targeted at these strains would enable the development of synbiotic versions with enhanced survivability and colonization in the gut. Infant formulas: It has long been known that the gut flora of the breast-fed infant is dominated by bifidobacteria and that this is not the case for formulafed infants.[18,19] This is thought to be one reason for the improved resistance to infection that the latter group experience. If prebiotics could be developed that have particular selectivity towards those bifidobacteria present in the guts of breast-fed infants, a new range of synbiotic formula foods could be envisaged. Functional foods for the elderly: Above the age of about 55 –60 years, fecal bifidobacterial counts have been shown to markedly decrease compared to counts of younger people.[20,21] This decrease in bifidobacteria is a cause for concern as the natural elderly gut flora may have become compromised through reduced bifidobacterial numbers, resulting in a diminished ability to resist colonization with invading pathogens. Prebiotics may be potentially utilized as a dietary intervention in the attempt to restore the youthful microflora balance of the gut in the elderly population, concurrently with indirectly providing antipathogenic protection.

As prebiotics exploit the use of nonviable dietary components to improve gut health, the range of foods into which they can be added is much wider than that for probiotics, where culture viability needs to be maintained. This has the advantage that heat stability or exposure to oxygen is not an issue. As such, virtually any carbohydrate-containing food is susceptible to supplementation. Examples are shown in Table 1. III.

HEALTH-RELATED ASPECTS AND APPLICATIONS

The prebiotic approach advocates the administration of nonviable entities. At present, most prebiotics are selected on the basis of their ability to promote the growth of lactic acid-producing microorganisms. Fructooligosaccharides, lactulose, and galactooligosaccharides are all popular prebiotics. In Europe the most success has been gained with fructooligosaccharides. In human studies, after a short feeding period, they stimulate bifidobacteria in the lower gut.[22] Similarly, lactulose is an efficient prebiotic, as

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Table 1

Potential Applications for Prebiotics as Food Ingredients to Improve Gastrointestinal Health of the Consumer Beverages and fermented milks Health drinks Bakery products Table spreads Sauces Infant formulas and weaning foods Cereals Biscuits Confectionery, cakes, desserts Snack bars Soups

demonstrated through the use of molecular probes in a human volunteer trial (Tuohy et al., 2001). In Europe, FOS, GOS, and lactulose have been shown to be prebiotics through numerous volunteer trials, as evidenced by their ability to change the gut flora composition after a short feeding period.[9] The Japanese market is more widespread. A recent volunteer trial was carried out at the University of Reading (Tuohy et al., 2001). Shortbread containing 7 g/d FOS was fed to human subjects and the effects upon fecal bacteria determined as compared to a placebo (FOS not added). The nature of the trial was a crossover approach in that volunteers took active and placebo shortbread, but neither they nor the investigators were aware of which was ingested. Moreover, the bacteriology was carried out using a (culture-independent) probing approach that relied upon differences in 16SrRNA profiles for the confirmation of identity. The data clearly show that the use of FOS exerted a profound effect upon bifidobacteria. A number of benefits can be ascribed to prebiotic intake (Gibson et al., 2002). A.

Protection Against Colon Cancer

Many common diseases of the human large bowel arise in the distal colon, particularly colon cancer.[23] Prebiotics have been postulated to be protective against the development of colon cancer.[24 – 28] The second most prevalent cancer in humans is colon cancer,[29] and it is thought that tumors arise 100 times more often in the large intestine compared to the small intestine.[30] For this reason, many researchers believe that the colonic microflora has an important role to play in the development of bowel cancer.[31] It is known that several species of bacteria commonly found in the colon produce carcinogens and tumor promoters from food components that reach the colon. Interest in a diet-mediated intervention in colon cancer arises due to the slow, progressive nature of the disease and the fact that we can influence colonic microbiology by diet. There have been several studies on the use of prebiotics in cancer prevention, mainly focusing on animal models. It is thought that prebiotics may protect against the development of colon cancer through at least two mechanisms: 1.

Production of protective metabolites: Butyrate is a common fermentation end product and is known to stimulate apoptosis in colonic cancer cell lines, and it is

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Hoang-Dung TRAN and friends also the preferred fuel for healthy colonocytes.[32,33] For these reasons it is generally believed desirable to increase the amount of butyrate formed in the large gut. Some prebiotics are known to have this effect,[14,34] although it must be borne in mind that lactobacilli and bifidobacteria do not produce butyrate. Known butyrate producers in the gut are clostridia and eubacteria.[6] Development of prebiotics that stimulate eubacteria but not clostridia would be a desirable enhancement. Subversion of colonic metabolism away from protein and lipid metabolism. It is possible that prebiotics would induce a shift in bacterial metabolism in the colon towards more benign end products. An obvious target would be shift the metabolism of clostridia and bacteroides away from proteolysis to saccharolysis.

Lactic acid bacteria are believed to have inhibitory effects on several bacteria that produce carcinogenic enzymes and are themselves nonproducers. Moreover, prebiotics may indirectly modify the activities of enzymes produced by the lactic acid bacteria that are involved in carcinogenesis, such as azoreductases, nitroreductases, and b-glucuronidase.[35] To date, few prebiotics have been evaluated in animal and human trials. Inulin has been shown to inhibit the formation of aberrant crypt foci in rats.[25] Human studies are low in number and tend to focus on fecal markers of carcinogenesis rather than being epidemiological in nature. FOS, GOS, and resistant starch have all been investigated in this regard. FOS has been found to reduce genotoxic enzymes concomitant with increasing bifidobacteria,[26] and resistant starch has been found to reduce sterols, secondary bile acids, and genotoxic enzymes, although no microbiological studies were performed.[28] A recent study on GOS, however,[36] found no significant changes in bifidobacteria or in markers of carcinegenesis. These results might at first sight seem anomalous, as GOS are known prebiotics.[37] However, the starting populations of bifidobacteria in the volunteers were rather high (9.2 –9.4 log). It has been noted[38] that the magnitude of the response to prebiotics by bifidobacteria depends on the starting levels. It is apparent that we currently have an inadequate knowledge of the effects of various prebiotics upon risk of colon cancer, and more studies are needed to address this. Development of prebiotics with the goal of reducing biomarkers of cancer would, however, be desirable. B.

Effects on Pathogens

Good evidence for the success of prebiotics probably lies in their ability to improve resistance to pathogens by increasing bifidobacteria and lactobacilli. Lactic acid –excreting microorganisms are known for their inhibitory properties.[39] In humans, viruses, protozoa, fungi, and bacteria can all cause acute gastroenteritis. Metabolic end products such as acids excreted by these microorganisms may lower the gut pH to levels below those at which pathogens are able to effectively compete. Also, many lactobacilli and bifidobacterial species are both able to excrete natural antibiotics which can have a broad spectrum of activity. For the bifidobacteria, some species are able to exert antimicrobial effects on various gram-positive and gram-negative intestinal pathogens.[40] A recent study in mice showed that FOS and inulin protected against enteric and systemic pathogens and tumor inducers.[41] This includes the Verocytotoxin strain of Escherichia coli O157 : H7 and campylobacters. Viral infections play a major role, but bacteria are also of great significance. Much effort is being expended on cleaning up the food chain from “farm to fork” or “plough to plate.” However, organisms causing infection have their effects after the fork or

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Hoang-Dung TRAN and friends plate, i.e., in the gut. It may be that a rational way to reduce the food-poisoning burden is to fortify certain components of the intestinal flora such that it becomes much more resistant to invasion. This is achievable through the use of prebiotics that target bifidobacteria and/ or lactobacilli. Taking this further, some other gut-related conditions more chronic than acute gastroenteritis, but also leveled at microbiological pathogens, may also be susceptible to prevention or treatment by altering the gut flora. Examples would include ulcerative colitis, bowel cancer, peptic ulcers, pseudomembranous colitis, and Candida-induced conditions.

C.

Improved Calcium Absorption

There has been increasing interest in recent years in the possibility of increasing mineral (particularly calcium) absorption through the consumption of prebiotics. Although the small intestine is the principal site of calcium absorption in humans, it is thought that significant amounts are absorbed throughout the length of the gut, and consequently maximizing of colonic effects is desirable. Several mechanisms have been postulated for increased calcium absorption induced by prebiotics,[42] although it is far from clear at the present time which (if any) actually operate in vivo. Fermentation of prebiotics such as inulin results in a significant production of short chain fatty acids (SCFA), leading to a reduction in lumenal colonic pH. This is likely to increase calcium solubility and overall levels in the gut. Phytate (myoinositol hexaphosphate) is a component of plants that reaches the colon largely intact.[43] It also forms stable, insoluble complexes with divalent cations, like calcium, rendering them unavailable for transport. Fermentation results in bacterial metabolism of phytate, thereby liberating calcium. It is postulated that a calcium exchange mechanism operates in the colon. In this system, SCFA enter the colon in a protonated form and then dissociate in the intracellular environment. The liberated proton is then secreted into the lumen in exchange for a calcium ion. Numerous animal studies have indicated that prebiotics increase absorption of calcium from the colon and decrease losses from bone tissue.[44] Very few human studies have been carried out, however. In one such study, feeding 40 g of inulin per day for 28 days to nine healthy subjects resulted in a significant increase in calcium absorption.[45] A more realistic 15 g of inulin, FOS or GOS, per day fed to 12 healthy subjects for 21 days resulted in no significant effect on absorption of calcium or iron.[46] In a more recent study, 12 adolescent boys (14 –16 years) were fed 15 g f FOS per day for 9 days in a placebo-controlled trial against sucrose.[47] The data showed a 10.8% increase in calcium balance with no significant effect on urinary excretion. D.

Effects on Blood Lipids

There is intense interest in the food industry in developing functional foods to modulate blood lipids such as cholesterol and triglycerides. It is widely believed that elevated cholesterol levels in the blood represent a risk factor for coronary heart disease, with low-density lipoproteins (LDL) being of most concern.[48] There is also evidence that lactic acid bacteria may be able to reduce total and LDL cholesterol levels. The mechanisms by which lactic acid bacteria, and hence, indirectly, prebiotics, influence blood lipids are not clearly understood at the present time. It is possible that some lactic acid bacteria may be able to directly assimilate cholesterol. This has been hypothesized from some in vitro experiments but is a source of contention in that the data are conflicting and precipitation of cholesterol with bile salts at low pH may occur, giving misleading results. It has been

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Hoang-Dung TRAN and friends suggested[48,49] that propionate produced by bacterial fermentation of prebiotics inhibits the formation of serum LDL cholesterol. The difficulty with this hypothesis is that bacterial fermentation of prebiotics generally produces much more acetate than propionate, as the target lactic acid bacteria (lactobacilli, bifidobacteria) are not propionate producers. Moreover, acetate is a metabolic precursor of cholesterol and may therefore tend to increase, not decrease, serum levels. There is evidence that FOS decrease the de novo synthesis of triglycerides by the liver. The means by which this occurs is not fully understood, but the effect appears be exerted at the transcriptional level. It is also possible that prebiotics (such as inulin) can modulate insulin-induced inhibition of triglyceride synthesis.[49] Human studies on the lipid-lowering properties of prebiotics when consumed at a realistic (tolerable) dose are not clear-cut.[50] Results are inconsistent, and only FOS, inulin, and GOS have been studied in this regard. It is possible that other prebiotics might lead to a more consistent effect, although until the mechanisms behind the effect are clarified, this will remain speculation.

E.

Immunological Effects

Lactic acid bacteria have long been considered to be immuno-modulatory and several commercial products on the marketplace have built upon this concept. LAB are thought to stimulate both nonspecific host defense mechanisms and certain cell types involved in the specific immune response. The result is often increased phagocytic activity and/ or elevated immunological molecules, such as secretory IgA, which may affect pathogens such as salmonellae and rotavirus. Most attention in this respect has been diverted towards the intake of probiotics (lactic acid bacteria)[51,52] and interactions between cell wall components and immune cells. As prebiotics serve a similar endpoint to lactic acid bacteria (i.e., improved gut microbiota composition), similar effects may occur through their intake. A recent animal study showed that prebiotics had an impact on immune function.[53] The question arises whether increased immune function, even through nonpathogenic means, is a desirable trait. A more detailed understanding of the immunological responses to particular changes in the colonic microflora may aid in the development of prebiotics with more desirable benefits. IV.

CONCLUSION

The microflora of the gastrointestinal tract is key for the nutrition and health of the host. Microflora modulation can occur through diets that contain prebiotics. The approach of using diet to induce microbial change offers a very straightforward approach towards improved health that is consumer friendly and effective. However, if progress in the use of dietary intervention directed towards particular gut bacteria is to be exploited, a sound research base is required. Some areas of interest include: The application of advanced molecular procedures that help identify the gut microbial diversity as well as allow effective tracking of microflora changes in response to diet (it is likely that a large number of gut bacteria have not hitherto been characterized, and culture-independent methodologies may help overcome this). The prebiotic potential of dietary ingredients and identification of those foodstuffs that can be fortified and the optimal dose required. A definition of prebiotics that act at the species level and have a high degree of selectivity and contain multiple biological activities.

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Hoang-Dung TRAN and friends Whether certain target groups are more susceptible to the approach (elderly, weaning stage, formula-fed infants, hospitalized patients). A determination of the health consequences associated with gut flora modulation.

In terms of new developments, it is important that the definitive health bonuses associated with prebiotic intake be determined. This is especially relevant given the broad applicability of their use. It is likely that prevention of acute gastroenteritis through fortification of certain gut microbiota components is an important aspect. Moreover, improved protection from more chronic gut disorders that have been associated with bacteria (inflammatory bowel disease, colon cancer, irritable bowel syndrome) may also be possible. It may also be the case that certain target populations, such as infants, the elderly, and hospitalized persons, are more susceptible to the approach. The health benefits that have been suggested are varied, but also very important. In addition to good human volunteer studies, we also need to enhance our mechanistic understanding of the health effects of prebiotics. Progress is being made in this area, and it is to be expected that the prebiotic approach to prevention of disease will be have a much stronger foundation. This will lead to better informed decisions by clinicians, nutritionists, and consumers.

REFERENCES 1. 2. 3.

4. 5. 6. 7.

8. 9. 10. 11.

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Simon, G.L.; Gorbach, S.L. The human intestinal microflora. Dig. Dis. Sci. 1986, 31 (9), 147S– 162S. Gibson, G.R.; Roberfroid, M.B. (eds.) Colonic Microbiota, Nutrition and Health; Kluwer Academic Publishers: Dordrecht, 1999. Salminen, S.; Roberfroid, M.; Ramos, P.; Fonden, R. Prebiotic substrates and lactic acid bacteria. In Lactic Acid Bacteria; Salminen, S., von Wright, A., Eds.; Marcel Dekker: New York, 1998, pp 343– 358. Gibson, G.R.; Roberfroid, M.B. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J. Nutr. 1995, 125, 1401– 1412. Sanders, M.A. Overview of functional foods: emphasis on probiotic bacteria. Int. Dairy J. 1998, 8, 341– 347. Cummings, J.H.; Macfarlane, G.T. The control and consequences of bacterial fermentation in the human colon. J. Appl. Bacteriol. 1991, 70, 443 – 459. Salminen, S.; Bouley, C.; Boutron-Ruault, M-C.; Cummings, J.H.; Franck, A.; Gibson, G.R.; Isolauri, E.; Moreau, M.C.; Roberfroid, M.B.; Rowland, I.R. Functional food science and gastrointestinal physiology and function. Br. J. Nutr. 1998, 80, S147– S171. Macfarlane, G.T.; Cummings, J.H.; Allison, C. Protein degradation by human intestinal bacteria. J. Gen. Microbiol. 1986, 132, 1647– 1656. Gibson, G.R.; Berry Ottaway, P.; Rastall, R.A. Prebiotics: New Developments in Functional Foods; Chandos Publishing Limited: Oxford, 2000. Wang, X.; Gibson, G.R. Effects of the in vitro fermentation of oligofructose and inulin by bacteria growing in the human large intestine. J. Appl. Bacteriol. 1993, 75, 373 – 380. De Leenheer, L. Production and use of inulin: industrial reality with a promising future. In Carbohydrates as Organic Raw Materials III; van Bekkum, H., Roper, H., Voragen, A.G.J., Eds.; VCH: Weinheim, 1994, pp 67 – 92. Okazaki, M.; Fujikawa, S.; Matsumoto, N. Effects of xylooligosaccharide on growth of bifidobacteria. J. Jpn. Soc. Nutr. Food Sci. 1990, 43, 395 – 401. Jaskari, J.; Kontula, P.; Siitonen, A.; Jousimies-Somer, H.; Mattila-Sandholm, T.; Poutanen, K. Oat b-glucan and xylan hydrolysates as selective substrates for Bifidobacterium and Lactobacillus strains. Appl. Microbiol. Biotech. 1998, 49, 175 – 181.

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Olano-Martin, E.; Mountzouris, K.C.; Gibson, G.R.; Rastall, R.A. In vitro fermentability of dextran, oligodextran and maltodextrin by human gut bacteria. Br. J. Nutr. 2000, 83, 247 – 255. Olano-Martin, E.; Mountzouris, K.C.; Gibson, G.R.; Rastall, R.A. Continuous production of oligosaccharides from pectin in an enzyme membrane reactor. J. Food Sci. 2001, 66 (7), 966 – 971. Svensson, U. Industrial perspectives. In Probiotics: A Critical Review; Tannock, G., Ed.; Horizon Scientific Press: Wymondham, 1999; 57 – 64. Lee, Y.-K.; Nomoto, K.; Salminen, S.; Gorbach, S.L. Handbook of Probiotics; Wiley: New York, 1999. Cooperstock, M.S.; Zedd, A.J. Intestinal flora of infants. In Human Intestinal Microflora in Health and Disease; Hentges, D.J., Ed.; Academic Press: London, 1983; 79 – 99. Benno, Y.; Sawada, K.; Mitsuoka, T. The intestinal microflora of infants: composition of fecal flora in breast-fed and bottle-fed infants. Microbiol. Immunol. 1984, 28, 975 – 986. Mitsuoka, T. Bifidobacteria and their role in human health. J. Indust. Microbiol. 1990, 6, 263–268. Kleessen, B.; Sykura, B.; Zunft, H-J.; Blaut, M. Effects of inulin and lactose on fecal microflora, microbial activity and bowel habit in elderly constipated persons. Am. J. Clin. Nutr. 1997, 65, 1397–1402. Gibson, G.R.; Beatty, E.R.; Wang, X.; Cummings, J.H. Selective stimulation of bifidobacteria in the human colon by oligofructose and inulin. Gastroenterology 1995, 108, 975 – 982. Rowland, I.R. Metabolic interactions in the gut. In Probiotics: The Scientific Basis; Fuller, R., Ed.; Chapman and Hall: Andover, 1992, pp 29 – 53. Rowland, I.R.; Tanaka, R. The effects of transgalactosylated oligosaccharides on gut flora metabolism in rats associated with a human faecal microflora. J. Appl. Bacteriol. 1993, 74, 667 – 674. Reddy, B.S.; Hamid, R.; Rao, C.V. Effect of dietary oligofructose and inulin on colonic preneoplastic aberrant crypt foci inhibition. Carcinogenesis 1997, 18, 1371– 1374. Bouhnik, Y.; Flourie, B.; Riottot, M.; Bisetti, N.; Gailing, M.F.; Guibert, A. Effects of fructooligosaccharides ingestion on faecal bifidobacteria and selected metabolic indexes of colon carcinogenesis in healthy humans. Nutr. Cancer 1996, 26, 21 –29. Buddington, R.K.; Williams, C.H.; Chen, S.-C.; Witherly, S.A. Dietary supplementation of neosugar alters the fecal flora and decreases activities of some reductive enzymes in human subjects. Am. J. Clin. Nutr. 1996, 63, 709 – 716. Hylla, S.; Gostner, A.; Dusel, G.; Anger, H.; Bartram, H.-P.; Christl, S.U., et al. Effects of resistant starch on the colon in healthy volunteers: possible implications for cancer prevention. Am. J. Clin. Nutr. 1998, 67, 136– 142. Gibson, G.R.; Macfarlane, G.T. Intestinal bacteria and disease. In Human Health—The Contribution of Microorganisms; Gibson, S.A.W., Ed.; Springer-Verlag: London, 1994, pp 53 – 62. Morotomi, M.; Guillem, J.G.; LoGerfo, P.; Weinsten, I.B. Production of diacylglycerol, an activator of protein kinase C by human intestinal microflora. Cancer Res. 1990, 50, 3595– 3599. Rowland, I.R., Ed. Role of the Gut Flora in Toxicity and Cancer; Academic Press: London, 1988. Prasad, K.N. Butyric acid: a small fatty acid with diverse biological functions. Life Sciences 1980, 27, 1351–1358. Kim, Y.S.; Tsao, D.; Morita, A.; Bella, A. Effect of sodium butyrate and three human colorectal adenocarcinoma cell lines in culture. Falk Symposium 1982, 31, 317–323. Videla, S.; Vilaseca, J.; Antolin, M.; Garcia-Lafuente, A.; Guarner, F.; Crespo, E.; Casalots, J.; Salas, A.; Malagelada, J.R. Dietary inulin improves distal colitis induced by dextran sodium sulfate in the rat. Am. J. Gastroenterol. 2001, 96, 1468– 1493. Reddy, B.S. Prevention of colon cancer by pre- and probiotics: evidence from laboratory studies. Br. J. Nutr. 1998, 80, S219– S223.

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Alles, M.S.; Hartemink, R.; Meyboom, S.; Harryvan, J.L.; van Laere, K.M.J.; Nagengast, F.M. Effect of transgalactooligosaccharides on the composition of the human intestinal microflora and on putative risk markers for colon cancer. Am. J. Clin. Nutr. 1999, 69, 980 – 991. Schoterman, H.C.; Timmermans, H.J.A.R. Galacto-oligosaccharides. In Prebiotics and Probiotics; Gibson, G.R., Angus, F., Eds.; Leatherhead Food RA Publishing, Leatherhead, UK, 2000, pp 19– 46. Rycroft, C.E.; Jones, M.R.; Gibson, G.R.; Rastall, R.A. A comparative in vitro evaluation of the fermentation properties of prebiotic oligosaccharides. J. Appl. Microbiol. 2001, 91 (5), 878– 887. Fuller, R., Ed. Probiotics 2: Application and Practical Aspects; Chapman and Hall: Andover, UK, 1997. Mackey, B.M.; Gibson, G.R. Escherichia coli O157—from farm to fork and beyond. Soc. Gen. Microbiol. Q. 1997, 24, 55– 57. Buddington, K.K.; Danohoo, J.B.; Buddington, R.K. Dietary oligofructose and inulin protect mice from enteric and systemic pathogens and tumour inducers. J. Nutr. 2002, 132, 472– 477. Fairweather-Tait, S.J.; Johnson, I.T. Bioavailability of minerals. In Colonic Microbiota, Nutrition and Health; Gibson, G.R., Roberfroid, M.B., Eds.; Kluwer: Dordrecht, 1999, pp 233– 244. Cummings, J.H.; Hill, M.J.; Houston, H.; Branch, W.J.; Jenkins, D.J.A. The effect of meat protein and dietary fibre on colonic function and metabolism. 1. Changes in bowel habit, bile acid excretion and calcium absorption. Am. J. Clin. Nutr. 1979, 32, 2086– 2093. Greger, J.L. Nondigestible carbohydrates and mineral bioavailability. J. Nutr. 1999, 129, 1434S– 1435S. Coudray, C.; Bellanger, J.; Castiglia-Delavaud, C.; Re´me´sy, C.; Vermorel, M.; Rayssignuier, Y. Effect of soluble or partly soluble dietary fibres supplementation on absorption and balance of calcium, magnesium, iron and zinc in healthy young men. Eur. J. Clin. Nutr. 1997, 51, 375–380. van den Heuvel, E.; Schaafsma, G.; Muys, T.; van Dokkum, W. Non-digestible oligosaccharides do not interfere with calcium and non-haeme iron absorption in young, healthy men. Am. J. Clin. Nutr. 1998, 67, 445–451. van den Heuvel, E.; Muys, T.; van Dokkum, W.; Schaafsma, G. Oligofructose stimulates calcium absorption in adolescents. Am. J. Clin. Nutr. 1999, 69, 544 – 548. Delzenne, N.M.; Williams, C.M. Actions of non-digestible carbohydrates on blood lipids in humans and animals. In Colonic Microbiota, Nutrition and Health; Gibson, G.R., Roberfroid, M.B., Eds.; Kluwer: Dordrecht, 1999, pp 213 – 231. Delzenne, N.M.; Kok, N.N. Biochemical basis of oligofructose-induced hypolipidaemia in animal models. J. Nutr. 1999, 129, 1467S– 1470S. Williams, C.M. Effects of inulin on lipid parameters in humans. J. Nutr. 1999, 129, 1471S– 1473S. Schiffrin, E.J.; Rochat, F.; Link-Amster, H.; Aeschlimann, J.M.; Donnet-Hughes, A. Immune system stimulation by probiotics. J. Dairy Sci. 1995, 78, 1597– 1606. Perdigon, G.; Alvarez, S. Probiotics and the immune state. In Probiotics: The Scientific Basis; Fuller, R., Ed.; Chapman & Hall: London, 1992; 146 – 180. Swanson, K.S. Prebiotics and probiotics: impact on gut microbial populations, nutrient digestibilities, fecal protein catabolite concentrations and immune functions of humans and dogs. Diss. Abst. Int. 2002, 63, 746.

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Hoang-Dung TRAN and friends

14 Lactic Acid Bacteria in Vegetable Fermentations ¨ KI MAARIT MA MT T Agrifood Research Finland, Jokioinen, Finland

I.

INTRODUCTION

The fermentation of plant material is an ancient preservation method, the origins of which have been traced to Asia.[1] In Europe, a total of 21 different vegetables are fermented, in addition to an unspecified number of variably composed vegetable blends and fermented vegetable juices (2). The most common products in Europe and the United States are sauerkraut, cucumbers, and olives. Fermented olives are manufactured mainly in the Mediterranean region. The fermentation of these products is carried out in factories or on farms.[2,3] In Korea, kimchi is a traditional fermented vegetable food.[4] According to Buckenhu¨skes and coworkers,[2] it is generally agreed that fermented plant products are the “food of the future.” Factors supporting this idea include: The high degree of hygienic safety caused by repression of growth of pathogenic bacteria Products can be marketed as “natural” or “biological” Enrichment of desired metabolites such as L -lactic acid or amino acids Build-up of flavor compounds and destruction of negative flavor compounds such as glucosinolates Less energy input than most other methods of preservation Simple handling and storage without cooling Easy method for prehandling of raw material before further processing Most fermented vegetable products including sauerkraut juice are still produced by spontaneous fermentation, which typically involves a succession of microbial populations. 419 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

Ma¨ki

420

Hoang-Dung TRAN and friends The amounts of lactic acid bacteria (LAB) in fresh vegetables are very low (5 – 10). Lactic acid bacteria found on plant material are presented in Table 1. The sequence of natural fermentation and storage of vegetables has been divided into four stages: initiation of fermentation, primary fermentation, secondary fermentation, and postfermentation.[12,13] Since the amount of LAB in the original bacterial population is at most 1%, the aerobic organisms and the facultatively anaerobic enterobacteria are active at the beginning of fermentation. The primary fermentation is dominated by LAB and yeast. Their growth rate depends on several factors, including the initial microbial population and the physical and chemical properties of the vegetables and the environment. Due to the acid production and low buffering capacity typical of most vegetables, the pH of the fermenting material drops quickly. Parallel to this, the redoxpotential goes down because of respiration, microbial activity, and a change of atmosphere caused by CO2 production. This results in advantageous selection for LAB.[12 – 14] Secondary fermentation and postfermentation are caused by spoilage bacteria, yeasts, or molds, which use residual sugars or fermentation acids as substrates.[12,13] In this chapter the lactic acid fermentation of sauerkraut and cucumbers is described in detail. The processing and microbiology of vegetable fermentations have been described elsewhere.[3,6,9,11,13 – 16]

II.

CHARACTERISTICS OF LAB IN VEGETABLES

LAB that dominate vegetable fermentations belong to the genera Lactobacillus, Leuconostoc, and Pediococcus. Although species of Enterococcus and Lactococcus have been isolated at the initiation of fermentation, their significance in spontaneous fermentation has not been established.[13] The species normally found in fermented vegetables do not usually reduce nitrate, and the presence of fermentable carbohydrate is a prerequisite for their growth.[17 – 20] The LAB involved in the initiation of fermentation and in primary vegetable fermentations are shown in Table 2. Homofermentative strains of lactobacilli produce 85% lactic acid from glucose and heterofermentative strains lactic acid, CO2, ethanol, and/or acetic acid in equimolar amounts.[21] Fructose can function as a hydrogen acceptor, and it is reduced to mannitol by heterofermentative LAB.[17] The phenotypic variability of Lb. plantarum has long been known. Genomic heterogeneity has also been shown by DNA/DNA homology studies.[17] Kleerebezem and coworkers[22] have described the complete genome sequence of Lb. plantarum WCFS1. Lactobacillus pentosus and Lactobacillus paraplantarum are new species related to Lb. plantarum, and they both are able to ferment xylose.[23] Strains of Lb. sake and Lb. curvatus are

Table 1

Lactic Acid Bacteria Associated with Plant Material

Lactobacillus brevis Lactobacillus casei Lactobacillus plantarum Lactobacillus arabinosus Lactobacillus buchneri Lactobacillus fermentum Leuconostoc mesenteroides

Pediococcus acidilactici Pediococcus pentosaceus (formerly P. cerevisiae) Enterococcus faecalis (formerly Streptococcus faecalis) Enterococcus faecalis var. liquefaciens Enterococcus faecium (formerly Streptococcus faecium) Lactococcus lactis (formerly Streptococcus lactis)

Source: Ref. [11]

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Table 2

Lactic Acid – Producing Bacteria Involved in Vegetable Fermentations. Genus and species

Fermentation type

Enterococcus faecalis Lactobacillus bavaricus Lactobacillus brevis Lactobacillus fermentum Lactobacillus pentosus Lactobacillus plantarum Lactococcus lactis Leuconostoc mesenteroides Pediococcus acidilactici Pediococcus pentosaceus

Homofermentative Homofermentative Heterofermentative Homofermantative Homofermentative Homofermentative Homofermentative Heterofermentative Homofermentative Homofermentative

Source: Adapted from Ref. [13]

phenotypically closely related,[17] and they are considered beneficial in sauerkraut. The racemase-deficient Lb. bavaricus strains are used as starter cultures in sauerkraut.[24] Murphy and Condon[25] demonstrated that during aerobic incubation, Lb. plantarum produces H2O2, the accumulation of which represses its growth. LAB use manganese (Mn2þ) as a scavenger of toxic oxygen species, particularly the superoxide radical [26] This is a unique defense mechanism of LAB associated with plants[11] anion (O
2 ). and is reflected in the high internal manganese content of such bacteria.[26,27] Leuconostocs are facultatively anaerobic LAB, which have complex growth factor and amino acid requirements. They produce CO2, ethanol or acetic acid, and D -lactic acid from glucose.[18] Leuconostocs have been isolated from the plant surfaces, and they initiate fermentation in vegetable products more rapidly than other LAB or other competing bacteria. They produce slime in media containing sucrose.[28] Ln. mesenteroides is considered the dominant species in the early stage of sauerkraut fermentation, but other species, such as Leuconostoc fallax, may be present.[29] Pediococci are facultatively anaerobic bacteria with complex growth factor and amino acid requirements. They ferment glucose to D ,L -lactic acid. Pediococcus pentosaceus and Pediococcus acidilactici grow quickly in suitable media, and they are widespread on vegetable material. The acid-tolerant, low-temperature species Pediococcus damnosus and Pediococcus parvulus grow slowly and require the most anaerobic conditions for growth.[19]

A.

Antimicrobial Fermentation End Products

Preservation of vegetables by lactic acid fermentation is based on the production of organic acids, leading to a rapid drop of pH (see also Chapter XX). The organic aicds and low pH will, in combination with NaCl, inhibit the growth of undesirable gramnegative organisms.[16] LAB are also known for their ability to produce bacteriocins[30,31] although their in situ production remains to be proven. Microorganisms display varied tolerances to acids. The inhibitory effect of acids have been compared on the basis of pH, concentration, chain length, type, and degree of branching to inhibit or kill a wide

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Hoang-Dung TRAN and friends variety of microorganisms. The effective use of an acidulant depends upon the dissociation constant, pKa, which in most organic acids lies between pH 3 and 5.[32] The antimicrobial effect of fermentation acids is based on the concentration of the undissociated form of the acids in synergy with a low pH.[33 – 35] Upon entering the cell, the undissociated acid dissociates into its anion and proton because of the somewhat neutral intracellular pH. This reduces the intracellular pH to a level that will rapidly kill the cell unless the ions are excreted again by active transport, a process which requires energy.[36] Anions have antimicrobial activity as well. The acid tolerance of Lb. plantarum is likely the result of its ability to maintain pH homeostasis even at low external pH.[37] Oxidative yeasts are able to utilize organic acids as a carbon and energy source and can cause spoilage through deacidification of fermented plant material.[11] Savard and coworkers[38] demonstrated that the growth of spoilage yeasts isolated from fermented vegetables was not prevented by acidification lactic acid alone to pH 3.74 and that the growth was inhibited by propionic acid alone or together with acetic acid. The accumulation of CO2 in fermented plant products is the result of an endogenous respiration of the plant cells combined with microbial activities.[39] The overall effect of CO2 on microorganisms is an extension of the lag phase of growth and a decrease in the growth rate during the logarithmic phase. The inhibitory effects of CO2 on microorganisms in a culture medium or food system are dependent on many factors, such as partial pressure of, CO2, the concentration of, CO2, storage temperature, and the type of microorganism. Although the bacteriostatic effect of CO2 has been known for many years, the precise mechanism of its action is still not clearly understood.[40] Gram-negative bacteria are generally more sensitive to CO2 than gram-positive bacteria,[41] and lactobacilli are generally among the most resistant bacteria.[42]

III.

FERMENTATION PROCESSES

A.

Sauerkraut

The developments in plant breeding have produced cultivars of cabbage (Brassica oleracea) with variable suitability for lactic acid fermentation.[43] The concentration of fermentable sugars, glucose, fructose, and sucrose, is between 3 and 9% in fresh matter.[16,44,45] Before processing, the cabbage heads are trimmed, the cores are removed, and the cabbage is shredded. Salt is mixed with the shredded cabbage, and the brine begins to form immediately. The containers are sealed hermetically and pressed with weight. Fermentation is allowed to proceed for as little as a few weeks to as long as a year before packaging.[16] The lactic acid fermentation is initiated by Ln. mesenteroides and followed by Lb. brevis, P. pentosaceus, and finally by Lb. plantarum.[46] Buckenhu¨skes and coworkers[7] confirmed that the fermentation was started by Ln. mesenteroides, and after 7 days the LAB flora had changed and was dominated by Lb. plantarum, Lb. brevis, Lb. sake and Lb. curvatus strains. Ln. mesenteroides produces lactic and acetic acids and CO2 , which rapidly lower the pH, thus limiting the activity of undesirable microorganisms and enzymes that might soften the shredded cabbage. The CO2 replaces air and creates an anaerobic atmosphere, which is important to prevent the oxidation of ascorbic acid and to avoid darkening the natural color of the cut cabbage.[15] The dominant LAB flora alters according to the temperature and salt content. The ideal temperature and NaCl concentration for sauerkraut fermentation are 188C with and 1.8 – 2.25% NaCl.[16] Low temperature, even 58C, allows low acid production mainly

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Hoang-Dung TRAN and friends by Ln. mesenteroides, which grows at a lower temperature than the other LAB. A rise in temperature alters the fermentation to homofermentation.[7,46] At 328C Lb. plantarum and P. pentosaceus become dominant and the rate of acid formation is increased.[46] Stamer and coworkers[47] and Yildiz and Westhoff [48] demonstrated that the growth of Ln. mesenteroides was more repressed by 2.25% NaCl concentration in cabbage juice than the growth of Lb. brevis, P. pentosaceus, and Lb. plantarum strains. In commercial raw sauerkraut the pH varies between 3.2 and 3.4, the titrable acidity from 2.1 to 3.3%, and the salt content from 1.3 to 2.3%.[44] Antimicrobial compounds in fresh and heat-treated cabbage juices have been studied recently by Kyung and coworkers.[49 – 51] The inhibitory compounds were identified as methyl-methanethiosulfinate and methyl-methanethiosulfonate, which are hydrolyzed from a nonprotein sulfur amino acid, S-methyl-L -cysteine sulfoxide, enzymatically or thermally, respectively. Chopping, cooking, freezing, and fermentation of cabbage bring glucosinolates, sulfur-containing glucosides in cabbage, into contact with the enzyme myrosinase, which results in their breakdown.[52] During 2 weeks of sauerkraut fermentation, glucosinolates are decomposed[53,54] and different types of breakdown products are formed. Isothiocyanates and indole-3-carbinoles are considered to be protective, anticarcinogenic compounds,[55 – 57] and isothiocyanates together with allyl cyanide have been the predominant breakdown products of glucosinolates in sauerkraut.[53] Experimental results of Oh[58] demonstrated that daily consumption of 300 g of raw sauerkraut or raw kimchi inhibited the synthesis of enzyme and/or enzyme activity, which mediates the conversion of procarcinogens to proximal carcinogens involved in colon cancer.

B.

Cucumber

Cucumber fermentation has been reviewed by Etchells and coworkers,[6] Sandhu and Shukla,[59] and Harris.[16] Cucumbers are fermented in brine with an initial salt concentration that can range from 5 to 8% at ambient temperature. The fermentation is commonly completed within 2 –3 weeks when the lactic acid concentration is approximately 1.1% and the final pH is about 3.3 –3.5.[16] The initial brine strength may vary, depending on the individual pickling company.[6] In spontaneous fermentation of low-salt cucumber brines, great variations in the composition of dominant flora and fermentation acids were observed.[60] At the beginning of spontaneous fermentation, there is a rapid growth of gram-positive and gram-negative bacteria and yeasts. Initial load, growth rates, salt and acid tolerances are factors that are responsible for the sequence appearance of the LAB. During the fermentation, Ln. mesenteroides, P. pentosaceus, and Lb. plantarum are generally present.[11] Lb. plantarum is usually the dominant species at the end of the cucumber fermentation regardless of the original inocula.[61] Fermentation is affected by the chemical composition of cucumbers, which varies with size. Large cucumbers have been suggested to be more prone to secondary fermentation and bloater formation due to their higher sugar concentration.[62] Nutrients diffuse from solid vegetables into the brine, where they are accessible to microorganisms. The brine also serves to distribute the microorganisms present throughout the fermentation vessel.[11] LAB can enter and grow within cucumbers after they are brined,[63] whereas yeasts are unable to enter through stomata, presumably because of their larger size.[64]

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IV.

DEFECTS IN FERMENTED PRODUCTS

Slimy or ropy kraut has been recognized as a defect for many years. It is generally the result of dextran formation caused by Ln. mesenteroides and is a transitory problem since the dextrans are utilized by the other LAB. Slimy kraut caused by pectinolytic activity is permanent in effect.[15] However, the production of slime in sauerkraut has never been thoroughly investigated.[16] Bloater formation of fermented cucumbers can be prevented by purging CO2 from brines.[13] Bloater damage in brined cucumbers has been attributed to gas production by yeasts.[65] One of the sources of CO2 is the decarboxylation of malic acid by Lb. plantarum,[66] a principal organic acid of cucumbers.[67] McFeeters and coworkers[68] showed that the amount of CO2 produced is sufficient to cause bloater formation. The use of malolactic-deficient Lb. plantarum starter has prevented bloating in brined cucumbers.[68] Heterofermentative LAB have not been recommended as starters for cucumber fermentation because of CO2 production.[11,65] The cucumber blossoms may carry high numbers of molds, which have caused quality problems, such as softening of cucumbers by pectolytic enzymes.[6]

V.

STARTER CULTURES FOR FERMENTED VEGETABLES

Starter cultures applied in vegetable fermentation must possess appropriate and specific characteristics depending on the properties of the fermented commodity and the characteristics desired in the final product.[1] Requirements for LAB to be used for vegetable and vegetable juice fermentation have been presented by Buckenhu¨skes[1] and Fleming et al.[69]. Buckenhu¨skes and coworkers[7] demonstrated that inoculation of sauerkraut with Ln. mesenteroides resulted in a change of the dominating flora after 7 days as the pH went below 4.1. In sauerkraut inoculated with Lb. plantarum the total counts of LAB were higher than in the Ln. mesenteroides sauerkraut. The flavor and aroma substances were absent from Lb. plantarum sauerkraut. The residual sugar concentration in Lb. plantarum sauerkraut was about 1.8%, whereas in spontaneously fermented sauerkraut the sugars were exhausted. Fleming and McFeeters[44] also found that samples collected from commercial sauerkraut were completely fermented and no fermentable sugars could be detected. Delclo´s[70] used a mixed starter culture composed of Ln. mesenteroides and Lb. pentosus in sauerkraut fermentation. The product resembled spontaneously fermented sauerkraut, and the starter culture repressed the growth of Listeria monocytogenes. Historically, Lactococcus lactis subsp. lactis has not been associated with vegetable fermentations, however, it has been isolated from sauerkraut.[71] Lc. lactis species isolated from vegetables have been found to produce nisin[71] or a bacteriocin similar to nisin,[72,73] which was shown to have a wide spectrum of activity not only towards a variety of LAB, but also to Staphylococus aureus and L. monocytogenes. Breidt and coworkers[74] showed that nisin is able to delay the growth of homofermentative LAB in brined cabbage fermentation. Harris and coworkers[75] used nisin-resistant Ln. mesenteroides and a nisinproducing Lc. lactis subsp. lactis as a paired starter culture in sauerkraut fermentation. Nisin was detected in sauerkraut within 24 hours, and the levels produced were sufficient to retard the onset of the growth of nisin-sensitive Lb. plantarum ATCC 14917. Etchell and coworkers[76] compared the growth and acid production of pure cultures of P. pentosaceus, Lb. plantarum, and Lb. brevis and their mixture in sterilized and

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Hoang-Dung TRAN and friends naturally brined cucumbers. P. pentosaceus grew promptly and delayed the onset of the growth of Lb. plantarum when applied as a mixed starter. Lb. brevis, however, attained a relatively low population level and was later shown to cause bloating of cucumbers.[65] Fleming and coworkers[77] demonstrated that the inhibition of the growth of Lb. plantarum in mixed culture was caused by substances produced by the tested P. pentosaceus. It was concluded that the inhibitory interaction of strains in mixed starter cultures should be taken into consideration when strains are selected. Bacteriocin producing Lb. plantarum LPCO10 starter predominated indigenous microflora in green olive fermentation at application level of 105 cfu/mL whereas a non –bacteriocin-producing derivative Lb. plantarum 55-1 could not be isolated after 7 weeks.[78] This suggests that the production of antimicrobial substances plays an important role in other fermentations of plant material. The use of starter cultures in vegetable juices has become popular, except for sauerkraut juice, which is traditionally pressed from sauerkraut. The main target is to produce acid with little effect on the aroma.[14] Gardner and coworkers [79] evaluated development of various LAB during fermentation and storage phases in vegetable mixtures of carrot, beet, and cabbage. The mixed cultures had more uniform fermentation patterns than pure cultures. The selected starter, consisting of Lb. plantarum NK 312, P. acidilactici AFERM 772, and Ln. mesenteroides BLAC, produced good sensory quality and repressed the growth of yeasts. The selected starter was tested by Savard and coworkers,[80] who demonstrated that by increasing the ratio of Ln. mesenteroides, the proportion of acetic acid increased and lactic acid decreased. In addition, the counts of LAB were lower after 30 days of storage. Defined starter cultures have been developed to exploit metabolic activities not necessarily present in the “spontaneous” microbiota such as formation of exclusively L lactic acid or the reduction of nitrate and nitrite.[81] The ratio of at least 75% of L -lactic acid in vegetable juice has been increased by a culture composed of strains of Lactobacillus salivarius, Lactobacillus casei, Lactococcus lactis, and Lactococcus cremoris or a mixture thereof.[82] Another single strain starter Lb. bavaricus ATCC 31063 has produced sauerkraut and pickled cucumbers in which the lactic acid was 90% L -isomer.[83] Vegetables naturally accumulate nitrate, and some types of vegetable contain larger amounts than others. Nitrate may act as a source of toxic N-nitroso compounds.[84] The ability of a vegetable starter to reduce nitrate and nitrite may be beneficial for the quality of the end product.[14] However, Gierschner and Hammes[85] showed that Lb. plantarum and Lb. pentosus were unable to reduce nitrate in vegetable juice. Andersson[84] demonstrated that the gram-negative flora in carrots was responsible for nitrate reduction at the beginning of fermentation with or without Lb. plantarum inoculant and that the LAB present were unable to affect the nitrate content. The Lb. plantarum strains 92H and 90H and Lactobacillus delbrueckii strain 37H tested by Hybenova´ and coworkers[86] efficiently reduced nitrate in sterile cabbage and carrot juice. Some toxicological characteristics and outbreaks of food poisoning are associated with the biogenic amines histamine and tyramine. Silla Santos[87] has reviewed the physiological effect of biogenic amines present in foods. Among others, genera of Enterobacteriaceae and Bacillaceae as well as species of Lactobacillus, Pediococcus, and Streptococcus are reported to be capable of decarboxylating one or more amino acids.[1] Kalacˇ and coworkers[45] found that in spontaneously fermented sauerkraut, prepared with 2% (w/w) salt and fermented at 158C for 14 days, the biogenic amine concentration increased significantly during 12 months of storage at 5– 68C. Tyramine was present at the highest levels, followed by putrescine and cadaverine.

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Hoang-Dung TRAN and friends The formation of biogenic amines has been repressed by the use of Lb. plantarum inoculant compared with spontaneous fermentation.[88 – 90] The recommended dosage was at least 5  106 cfu/g.[89,90] Kalacˇ and coworkers[88] showed that inoculation of sauerkraut with pure cultures of L. casei, P. pentosaceus, or E. faecium at 228C for 14 days did not inhibit the formation of biogenic amines during storage of six months at 5 –68C compared with spontaneous fermentation, but when they were added as mixed culture together with Lb. plantarum (Microsil, Medipharm), the biogenic amine levels were significantly lower. Andersson[91] found that in fermentation of carrot, beet root, and a vegetable mixture of Swedish turnip, cabbage, and bell pepper with Lb. plantarum (106 cfu/g), the biogenic amine concentrations were considerably lower than those known to cause food poisoning, between 1 and 15 mg/kg of product. In in vitro tests Lactobacillus buchneri and Enterococcus faecium showed tyrosine decarboxylase activity.[89] Lb. buchneri has been isolated from high histamine cheeses, whereas Lb. brevis isolated from cheese was found to produced tyramine.[21]

VI.

CONCLUSIONS

LAB in vegetable fermentations are beneficial for the sensory and hygienic quality of the final products. The desired composition of the fermentation products can be influenced by variations in the salt concentration, temperature, fermentation time, and by the use of starter cultures. The development of starter cultures can aid in the economic improvement of fermentation processes as well as the safety and health aspects of the products.

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Fleming, H.P.; Etchells, J.L.; Costilow, R.N. Microbial inhibition by an isolate of Pediococcus from cucumber brines. Appl. Microbiol. 1975, 30, 1040– 1042. Ruiz-Barba, J.L.; Cathcart, D.P.; Warner, P.J.; Jime´nez-Dı´az, R. Use of Lactobacillus plantarum LPCO10, a bacteriocin producer, as a starter culture in Spanish-style green olive fermentations. Appl. Environ. Microbiol. 1994, 60, 2059– 2064. Gardner, N.J.; Savard, T.; Obermeier, P.; Caldwell, G.; Champagne, C.P. Selection and characterization of mixed starter cultures for lactic acid fermentation of carrot, cabbage, beet and onion vegetable mixtures. Int. J. Food Microbiol. 2001, 64, 261 – 275. Savard, T.; Champagne, C.P.; Beaulieu C. Influence des proportions de Leuconostoc mesenteroides dans l’inoculum sur la fermentation d’un me´lange de legumes a` base de carottes. Sciences des Aliments 2000, 20, 603 – 610. Lu¨cke, F.-K.; Bru¨mmer, J.-M.; Buckenhu¨kes, H.; Garrido Fernandez, A.; Rodrigo, M.; Smith, J.E. Starter culture development. In Processing and Quality of Foods. Vol. 2. Food Biotechnology: Avenues to Healthy and Nutritious Products; Zeuthen, P., Cheftel, J.C., Eriksson, C., Gormley, T.R., Linko, P., Paulus, K., Eds.; Elsevier Applied Science: New York, 1990; 11– 36. Lactic acid containing fruit and vegetable juices or mashes. German patent specification No. 1287379, 1972. Verfahren zur Gewinnung von Reinkulturen von Lactobacillus bavaricus sowie seine Verwendung zur milchsauren Verga¨rung von pflanzlichem Material. German patent 2440516, 1976. Andersson, R. Nitrate reduction during fermentation by gram-negative bacterial activity in carrots. Int. J. Food Microbiol. 1985, 2, 219 – 225. Gierschner, K.; Hammes, W.P. Mikrobiologische Nitrat-Entfernung aus Gemu¨sesa¨ften bzw. Gemu¨seflu¨ssigprodukten. Flu¨ssiges Obst 1991, 58, 236 – 239. Hybenova´, E.; Drda´k, M.; Guoth, R.; Graca´k, J. Utilisation of nitrates—a decisive criterion in the selection of lactobacilli for bioconservation of vegetables. Z Lebensm Unters Forsch 1995, 200, 213– 216. Silla Santos, M.H. Biogenic amines: their importance in foods. Int. J. Food Microbiol. 1996, 29, 213– 231. Kalac, P.; Sˇpicka, J.; Krı´_ek, M.; Pelika´nova´, T. The effects of lactic acid bacteria inoculants on biogenic amines formation in sauerkraut. Food Chem. 2000, 70, 355 – 359. Sˇpicka, J.; Kalac, P.; Bover-Cid, S.; Krı´_ek, M. Application of lactic acid bacteria starter cultures for decreasing the biogenic amine levels in sauerkraut. Eur. Food Res. Technol. 2002, 215, 509– 514. ´ .; Holzapfel, W.H. The influence of starter culture selection on sauerkraut Hala´sz, A.; Barat, A fermentation. Eur. Food Res. Technol. 1999, 208, 434 – 438. Andersson, R.E. Biogenic amines in lactic acid-fermented vegetables. Lebensm Wiss Technol 1988, 21, 68– 69.

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Hoang-Dung TRAN and friends

15 Lactic Acid Bacteria in Cereal-Based Products HANNU SALOVAARA University of Helsinki, Helsinki, Finland

I.

SUMMARY

Cereal-based foods are a major source of inexpensive dietary energy and nutrients worldwide. Cereal grains readily support the growth of microorganisms, including lactic acid bacteria (LAB), provided water and hydrolytic enzymes are present. Certainly many cereal foods, such as boiled or steamed rice, porridge, pasta, cookies, etc., are made without any fermentation process, and when fermentation is used alcoholic fermentation by yeast prevails, as in breadmaking and brewing. However, alcoholic fermentation of cereals often also involves lactic acid fermentation, and a mixed flora occurs. A number of cerealbased foods are characteristically fermented by lactic acid bacteria, such as the European sour rye bread, various Asian flat breads, and numerous types of fermented sour porridges, dumplings, and non- or low-alcoholic beers common in Africa, South America, and elsewhere. In these applications alcoholic fermentation may also have a role, but the lactic acid bacteria contribute to the technological and nutritional benefits, as well as affecting the flavor and keeping properties of the products. Most fermented cereal-based foods are heat treated after fermentation and the bacteria are killed. However, there are also cereal-based foods that contain live lactic acid bacteria, both traditional lactic-fermented foods and novel applications. This chapter discusses some aspects of the traditional and novel role of lactic acid bacteria in the production of cereal-based foods. II.

CEREALS AS A SUBSTRATE

Cereals are, in general, a good medium for microbial fermentations. They are rich in polysaccharides, which can be used as a source of carbon and energy by microbes in 431 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends fermentation (Table 1). The major polysaccharide in cereals is starch, which becomes available to microbes after hydrolysis. The level of free sugars in fully matured sound grains may be only 1–3%, but even this supports the initiation of the fermentation process, and endogenous amylases will produce more from the polysaccharides in favorable fermentation conditions. In rye the contents of free sugars and amylolytic enzymes are higher than in other cereals, and this may partly explain the association of rye and sourdough baking. Endogenous cereal enzymes, added malt, or enzymes can be used to break down the starch to simple fermentable sugars, i.e., maltose and glucose. Lactic acid bacteria capable of utilizing starch are also known and may be present in cereal fermentations. Besides carbohydrates, cereals also contain minerals, vitamins, sterols, and other growth factors, which support growth of microbes, including fastidious lactic acid bacteria. Cereal grains normally carry an indigenous microbial flora composed of a variety of different microbes, such as molds, enterobacteria, aerobic sporeformers, etc., all of which compete for nutrients. Since no pasteurization can be generally applied without affecting the technological properties of starch and protein, a vigorous starter flora of lactic acid bacteria is required for successful fermentation.

III.

LACTIC ACID FERMENTATION IN WET-MILLING

Dry cereal grains, being dry and hard nutritive packages, can be eaten only after milling or grinding and mixing with water. Hydrolysis by endogenous enzymes and fermentation by various microbes, including lactic acid bacteria, is often an unavoidable and integral part of the aqueous stage of cereal food preparation. For example, soaking of grains in water prior to wet-milling gives rise to various fermentation processes, including the lactic acid fermentation that often prevails in the end. Table 2 lists some functions of lactic acid fermentation in cereal food processes. Soaking of grains in water prior to wet-milling is customary when corn, sorghum, or millet is ground in traditional food processing. Soaking softens the grain endosperm and greatly reduces the work input required for grinding. Penetration of water into the interior

Table 1

Compositional Data for Whole Dehulled Cereal Grains

Constituent

Content (%, dry matter basis)

Polysaccharides (total) Starch Dietary fiber (as nonstarch polysaccharides þ lignin) Low molecular weight carbohydrates (total) Fructose Glucose Sucrose Raffinose Protein Lipids Ash (minerals) Source: Ref.[1]

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70 –80 45 –77 9 –15 2 –5 0.1 –0.4 0.1 –0.5 0.5 –2 0.2 –0.7 8 –15 2 –6 1.5 –3

Hoang-Dung TRAN and friends

Some Functions of Lactic Acid Fermentation in Cereal Food Processing

Operation Soaking of grains prior to wetmilling Slurrying or dough making after wet-milling Slurrying after dry milling Doughmaking for bread

Material mixed with water

Principal purpose

Side effect or simultaneous reaction

Examples of a typical products

Ref.a

Whole grains

Softening of grain endosperm

Lactic acid fermentation, control of undesired micro-organisms

Ogi, agidi, koko, mawe`

[2,5,6]

Wet starchy material from wet-milling

Separation of hulls etc. from the starchy endosperm

Flavor production, control of undesired organisms

Ogi, agidi, kenkey, mawe`

[2,5,6]

Coarse meal from dry-milling Flour

Separation of hulls etc. from the starchy endosperm Aeration of dough

Kiesa, flummery

[9,11]

Sourdough (rye) bread

[12]

Malting

Malting barley

Barley malt

[8]

Brewing

Malted or unmalted cereal

Germination, release of nutrients, increase of a-amylase activity Ethanol and flavor production

Lactic acid fermentation, control of undesirable organisms Acidification, flavor production, increase of mold-free time, control of a-amylase activity Control of undesirable organisms Acidification, flavor production

Brewing

Boiled corn/sorghum meal Maize or sorghum Oat bran

Cooking a gruel Cooking a gruel

Lactic acid, flavor production

Control of undesired organisms

Country beers, boza, lambic beer Mageu

Lactic acid, flavor production Proliferation of probiotic strains

Control of undesired organisms Acidification, flavor production

Togwa Vellie

LAB in Cereal-Based Products

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Table 2

[13,14,16]

[14,15] [17,18] [1]

a

Data from: Ref.[1,2,5,6,8,9,11 – 18]

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Hoang-Dung TRAN and friends of the kernels takes hours, and simultaneous fermentation occurs as an inevitable side effect, especially as the temperature cannot be controlled in normal applications. The fermenting microorganisms originate from the surface of the kernels and from other sources such as the steeping vessel and other equipment.[2 – 4] The resulting wet starchy material continues to undergo fermentation and carries the sour flavor, which is typical of the indigenous foods cooked from the fermented slurries.[5,6] Lactic acid fermentation can also occur when the flour from dry-milling or the starchy material from wet-grinding is slurried without temperature control. This is common in the preparation of many tropical staple foods. Initially a short period of growth by fungi and bacteria belonging to Enterobacteriaceae may occur, followed by a lactic fermentation and alcoholic fermentation.[2] In such processes lactic acid bacteria inhibit pathogenic and spoilage organisms by several mechanisms, such as the production of organic acids, hydrogen peroxide, and antimicrobial substances, as well as by lowering pH and oxidationreduction potential.[7] Lactic acid bacteria starter cultures have also been studied for controlling undesirable microbial growth in malting.[8] When oats were prepared for food, the separation of hulls was formerly achieved by slurrying stone-ground oats with water. The procedure enabled the hulls to be strained from the surface, whereas endosperm particles sedimented. The slurry underwent simultaneous sourdough-type fermentation, and this was favored by adding rye sourdough.[9] The sour starchy sediment was used to cook indigenous fermented porridges and gruels, such as the Welsh flummery and Karelian kiesa.[10,11]

IV.

LACTIC ACID BACTERIA IN BREADMAKING

A.

Functions of Sourdough

Aeration of dough and bread probably was the principal reason for using sourdoughs from a historical perspective and the procedure predominated until specially prepared baker’s yeast became available in the nineteenth century.[19] Easy access to effective and lowcost baker’s yeast favored the use of wheat in baking and enabled extensive leavening of wheat doughs, a property only provided by wheat gluten. However, the use of sourdough was not eliminated in the baking of rye bread and various flat breads, although the aerating function of the sourdough is not necessarily its main function any longer. The benefits of lactic acid fermentation are pronounced in nonwheat baking, particularly in rye bread making. Whereas sourness in white wheat bread induces a flavor not accepted to all people, sour rye bread is favored over nonacidified rye bread in northern, central, and eastern Europe. Dough for the various flat breads made in parts of Asia and Africa is often fermented in a process resembling that used for sour rye bread in Europe. Sourdough is also used for nonwheat breads or cakes, such as injera and kisra flat breads made from sorghum and other local cereals in Ethiopia and Sudan. Indian idli, made from rice and black gram, and puto, another steamed rice cake used as a snack in the Philippines, are also examples of breads or cakes made with sourdough.[20] The functions of sourdoughs in breadmaking are listed in Table 3. The aeration occurring in a sourdough is caused primarily by the yeast. Heterofermentative lactic acid bacteria may also have a role.[21,22] In an Indian rice/legume-based aerated caketype food, idli, heterofermentative lactic acid bacteria (Leuconostoc) were reported to be the micro-organisms responsible for leavening.[23] There is also some consumer interest in traditional breadmaking without added baker’s yeast.[22,24]

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Table 3

Functions of Sourdough in Breadmaking

Leavening action by yeast growing in association with lactic acid bacteria: Dough easier to bake Bread crumb softer and more palatable Modification of flour components such as swelling and partial hydrolysis of protein and Polysaccharides: Improvement of baking properties of rye dough Improvement of crumb properties of rye bread Control of excessive enzymatic acitivity of rye flour, especially a-amylase Delay of starch degradation in wheat breads by using amylolytic strains Control and inhibition of contaminating or spoiling flora during fermentation and in the end product due to organic acids and low pH, and possibly other mechanisms: Elongation of mold-free time of bread Prevention of growth of Bacillus subtilis, the rope-causing organism Accumulation of flavor components such as lactic and acetic acids and other fermentation products Increase of mineral bioavailability through degradation of phytate Characterization of the product by a natural image; greater versatility, local and regional products Suggested modification of starch structure leading to lower glycemic index values of wheat bread

In addition to the technological benefits and flavor, sour bread is characterized by better resistance to microbiological spoilage by molds and rope-forming bacilli.[25,26] The technological benefits of sourdough procedures in traditional rye breadmaking include the suppression of high endogenous activity of a-amylase and other enzymes and an increase in swelling of pentosans, which in turn improve gas retention.[27 – 29] Modification and partial hydrolysis of proteins in wheat sourdoughs also occurs, primarily due to endogenous enzymes present in the flour.[30] Acidification by lactic fermentation may also contribute to the technological properties of doughs made from other nonwheat cereals, although such functions do not appear to have been the subject of published studies. Sourdough technology provides possibilities for elongation of shelf-life time without added antimold or antirope or staling-inhibiting agents. These functions of sourdough have become even more important because of the negative consumer response to additives. The major antimicrobial compound in sourdough is acetic acid. Lactic acid reduces pH and by doing so increases the percentage of undissociated acetic acid, which is much more fungistatic than acetate. This concept is supported by experimental work (e.g.,[26,31,32]). However, other compounds may have a role too. Corsetti et al.[25] suggested that caproic acid formed by sourdough lactobacilli contributed to antifungal function. Lavermicocca et al.[33] found new antifungal compounds produced by a Lactobacillus plantarum strain. This Italian group also identified a bacteriocin-like substance from a Lactobacillus strain and found it to be active against a Bacillus subtilis strain.[34] Ga¨nzle et al.[35] reported a heat-labile antibiotically acting compound, reutericyclin, to be formed by a Lactobacillus reuteri strain isolated from sourdough. A review of the inhibitory substances produced by lactobacilli isolated from sourdoughs was recently presented by Messens and De Vuyst.[36] The potential of using amylolytic strains of lactobacilli in sourdoughs in order to inhibit staling by decreasing retrogradation through the enzymatic modification of starch has also been suggested.[37] In terms of nutrient bioavailability, it is obvious that phytate

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Hoang-Dung TRAN and friends degradation and release of minerals occurs in sourdough baking due to increased phytate solubility at low pH and endogenous phytase activity in flour.[29,38] It has also been reported that starch bioavailability is reduced by the use of sourdough and the glycemic response to starch is retarded.[39] A recent study confirmed that bread made with sourdough and containing lactic acid produced during fermentation has the ability to lower the postprandial glucose and insulin responses in humans.[40] The authors suggested that the underlying mechanism was an interaction between starch and gluten formed in dough.

B.

The Sourdough Fermentation Process

A good sourdough is of great value technologically, and therefore rebuilding systems based on a previous batch developed. Repeated rebuilding of sourdough, or back-slopping, gives rise to selective enrichment of microorganisms adapted to the ecosystem. In sourdoughs the lactobacilli predominate, although leuconostocs and pediococci have also occasionally been reported to be present. Yeasts are present unless the fermentation is carried out at an elevated temperature that inhibits yeast growth. The contaminating flora such as molds, enterobacteria, etc. may be initially high but will be suppressed by lactic acid bacteria during the sourdough fermentation. During sourdough fermentation the lactic bacteria and the yeasts multiply and metabolites accumulate. Figure 1a shows development of temperature, pH, titratable acidity, and colony counts of lactic acid bacteria and yeast during a batch-type industrial wholegrain ryemeal sourdough breadmaking process inoculated with 3% sourdough from a previous batch. Figure 1b shows the accumulation of lactic and acetic acids in the same process. In a fully developed wholemeal rye sourdough, the lactic acid content may exceed 1% and that of acetic acid may be 0.05– 0.2%. Whole cereal grains and 100% extraction rye flour may contain up to 102 –105 CFU/g of unspecified bacteria and up to 102 –103 CFU/g of lactic acid bacteria. Inoculation of the sourdough with 1–5% of a starter from the previous batch increases the number of lactic bacteria to 107 CFU/g or higher (Fig. 1a). This gives few possibilities for the growth of contaminating organisms, including those present in the flour. An obvious source of in-house inoculum is also the dough-handling equipment, which is difficult to clean, especially in the case of slimy and sticky rye sourdough. In a fully fermented sour rye sponge there may be more than 109 CFU of lactobacilli per gram. The number of yeast cells may be 50–100 times lower. Most sourdough processes are batch processes, although continuous propagation systems for large-scale industrial rye bread production have also been developed and are operating in Europe. Traditionally the scientific literature on lactic acid bacteria in cereal-based foods has been derived from studies on sour rye bread, which is typical of central, northern and eastern Europe. Much of the earlier work was reviewed by Spicher and Stephan[41] in their book on sourdough technology. Lo¨nner and Ahrne´[42] reviewed applications of lactobacilli in baking. Later reviews were made by Gobbetti,[43] Hammes and Ga¨nzle,[29] and Vogel et al.[44] Information on the microbiology of sourdough in various baking procedures is also included in the reviews by Caplice and Fitzgerald,[45] FAO,[20] Holzapfel,[4] and Blandino et al.[46] C.

Microecology of Sourdoughs

A typical stable sourdough is a microecological system that contains one to three major species of lactobacilli and a yeast, normally Candida milleri. Studies on the microecology

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Figure 1

(a) Development of pH, total titratable acidity, and CFU of lactic acid bacteria and yeast in an industrial rye sourdough process inoculated with 3% sourdough from previous batch. (b) Development of lactic acid and acetic acid in an industrial rye sourdough during fermentation.

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Hoang-Dung TRAN and friends of wheat sourdoughs have been inspired by the symbiotic relationship found in the San Francisco French bread process and first described more than 30 years ago.[47,48] Most food applications of lactic acid bacteria utilize homofermentative species. However, in breadmaking the heterofermentative lactobacilli also play a major role, and the acetic acid formed in heterolactic fermentation is essential to bread flavor and shelf life. Often in a given rye sourdough numerous species of lactobacilli can be detected but only one to three species are dominant and found in typical high numbers. Obligately homofermentative, facultatively homofermentative, and heterofermentative types of lactobacilli are found in sourdoughs. Precise identification of strains isolated from sourdoughs has always been problematic, partly because the properties of the isolated strains do not always fully comply with those of the model strains originating from other ecological environments. Molecular identification and clustering have recently been applied, in particular by German and Italian sourdough microbiologists.[31,49,50] Lactobacillus species frequently identified in sourdoughs are listed in Table 4. Application of molecular methods has deepened the understanding of heterofermentative species in particular. Industrial sourdough processes seem to be microbiologically and functionally very consistent, indicating the presence of a highly adapted flora. Stability of sourdoughs that

Table 4

Typical Species of Lactobacilli Detected in Sourdoughs in Various Studies

Species identified with conventional methods Species

Ref.a

Obligately homofermentative L. acidophilus [51,52,54,55] L. farciminis [51,54,59] L. delbrueckii ssp. [53,54,56,62] delbrueckii Facultatively heterofermentative L. plantarum [51– 54,56,59,63] L. casei [51 – 53,56] L. rhamnosus [54,55] Obligately heterofermentative L. sanfranciscensis [48,51,54 – 56,58 – 61,63] ( ¼ L.sanfrancisco) identicaltoL.brevis var. lindneri L. brevis [51,53,54,56 –58,61] L. fermentum [51,53– 56,60,61]

a

Data from: Ref.[48 – 67]

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Species identified applying molecular and conventional methods

Ref.a

L. acidophilus L. amylovorus L. delbrueckii spp. delbrueckii

[49] [50] [49]

L. plantarum L. lactis ssp. lactis

[49,64] [49]

L. sanfranciscensis

[64]

L. brevis L. fermentum L. pontis L. reuteri L. johnsonii L. fructivorans L. alimentarius L. frumenti

[49,65] [49,65] [50] [50,66] [64] [65] [49] [67]

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Hoang-Dung TRAN and friends are properly taken care of in bakeries also explain why commercial starter cultures consisting of one or more well-defined species or strains of lactic acid bacteria, available as freeze-dried powders or tablets, have not found a substantial market in the baking industry. However, starter cultures containing a stable mixed flora are commercially available. The most successful of these starters is probably the Bo¨cker “Reinzucht” sourdough, which contains Lactobacillus brevis var. lindneri (Lb. sanfranciscensis) as the dominant species.[41,64,68] The market for dried sourdough preparations as a bread ingredient has increased. However, these bakery premixes do not necessarily contain live lactic acid bacteria. In some specific processes a high fermentation temperature is used to control contaminating flora. Meuser[62] reported a liquid fermentation system in which fermentation by Lactobacillus delbru¨ckii takes place at 48– 528C, followed by another fermentation stage at 28 – 328C for yeast proliferation. The yeast present in a sourdough is acid tolerant and typically forms a stable combination of mutual benefit with the lactobacilli. The yeast produce amino acids, vitamins, and other growth factors required by the lactic acid bacteria,[69,70] whereas the acids produced by the lactic acid bacteria suppress the growth of other microbes. Candida milleri appears to be the most typical yeast species in sourdoughs, although baker’s yeast Saccharomyces cerevisiae and other closely related strains are also detected. Many of the sourdough yeast strains now designated as C. milleri were earlier referred to as Torulopsis holmii, the asporogenous form of Saccharomyces exiguus. There is a nice symbiosis between C. milleri and Lb. sanfranciscensis (formerly Lb. sanfrancisco, identical to Lb. brevis var. lindneri). This was first described for the San Francisco sourdough French bread process by Kline and Sugihara.[48] Later a corresponding relationship was detected in sourdoughs from elsewhere, as in a German sourdough starter, a Sudanese kisra sourdough, and an Italian panettone sourdough.[60,71,72] An obvious key factor in this symbiotic and highly resistive relationship appears to be the strong preference of the lactobacilli for maltose, as reviewed by Gobetti and Corsetti[73] and Vogel et al.[44] and clarified earlier in detail by Stolz et al.,[60,74 – 76] Neubauer et al.,[77] Gobbetti et al.,[72,78] and Ga¨nzle et al.[31] In these sourdoughs the Lb. sanfranciscensis utilize only maltose while releasing glucose that is used by the C. milleri yeast, which is itself incapable of assimilating

Figure 2

Utilisation of maltose in a sourdough by heterofermentative lactobacillus L. brevis var. lindneri and Candida milleri yeast. The lactobacilli utilize only maltose and release glucose, which is assimilated by the yeast.

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Hoang-Dung TRAN and friends maltose (Fig. 2). The lactobacilli found in these systems have the enzyme maltose phosphorylase, which is cabable of phosphorylating maltose to glucose-1-phosphate and glucose without the expenditure of ATP. Since there is plenty of maltose present in a sourdough, the lactobacilli can release glucose into the medium and use the energetically more favorable pathway to glucose-1-phosphate and further to glucose-6-phosphate via the phosphoketolase pathway (Fig. 3). In case all the maltose is used, the Lb. sanfranciscensis can take up the glucose that it earlier excreted. The mechanism improves the competitiveness of Lb. sanfranciscensis in the symbiotic microecological system, as the glucose released by the lactobacilli causes maltose repression in competitors leaving Lb. sanfranciscensis as the only exploiter of maltose in the system.[44,60,74 – 76] Another application in which a better understanding of the biochemistry of sugar fermentation by heterofermentative lactobacilli has proved to have practical use is the

Figure 3

Fermentation of glucose in heterofermentative lactobacilli. The reaction leading to ethanol produces no ATP, but 2 mol of NADþ are regenerated. In the presence of an added hydrogen acceptor (fructose or molecular oxygen), acetylphosphate is converted to acetate and an additional 1 mol of ATP is formed.

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Hoang-Dung TRAN and friends understanding of acetic acid production in sourdough for improvement of mold-free time, rope prevention, and flavor (see also Table 3). Heterofermentative lactobacilli lack aldolase, a key enzyme of glycolysis. Instead, they have phosphoketolase and produce carbon dioxide and ethanol/acetate from glucose in addition to lactate.[79,80] In the reaction pathway acetylphosphate is reduced to ethanol (Fig. 4). This enables 2 mol of NADþ to be regenerated, but the reaction yields no ATP and so the net result is only 1 mol of ATP from glucose in comparison to the 2 mol produced by homofermenters. However, many heterofermentative lactobacilli can use molecular oxygen or fructose as an electron acceptor and regenerate NADþ by converting acetylphosphate to acetate instead of ethanol.[81] This reaction path produces one additional mole of ATP from glucose and explains why some heterofermentative lactobacilli grow better in the presence of oxygen than anaerobically.[79] In the reaction oxygen is reduced to water or hydrogen peroxide, whereas fructose is reduced to mannitol.[73,74,75] It has been known for a long time that by making a hydrogen acceptor available for the heterofermentative lactobacilli, the fermentative pathway can be shifted so that acetate production is favored over ethanol.[81,82] Ro¨cken et al.[83,84] showed that in baking applications the addition of fructose in the form of invert sugar had a linear effect on acetate content of sourdough. As shown in Fig. 4 the presence of added baker’s yeast did not negate the effects of fructose on acetic acid accumulation in a rye sourdough containing a mixed flora including heterofermentative strains.[85] In consideration of the microecological system present in sourdoughs, it can be concluded that the competitiveness of certain heterofermentative lactobacilli in sourdoughs is supported by their characteristic capability to use of both maltose and electron acceptors. In addition, Candida milleri is capable to degrade glucofructosans present in flour and release fructose that can be used as an electron acceptor by Lb. sanfranciscensis, and so the combination is strengthened again.[44] The presence of Lb. sanfranciscensis has been reported only in sourdoughs.

Figure 4

Concentration of acetic acid in rye sourdough (mg/100 g flour) as a function of invert sugar addition (%) and baker’s yeast addition (log CFU/g flour) at 37.58C. (From.[85])

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V.

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Hoang-Dung TRAN and friends TRADITIONAL LACTIC ACID – FERMENTED CEREAL-BASED FOODS OTHER THAN BREAD

From a global perspective a considerable part of the cereal-based foods made by lactic acid fermentation are products other than sour bread. Such meals are staple foods in Africa and in parts of Asia and South America. For example, it was estimated that 45% of the maize used in Cotonou in Benin was processed into fermented foods.[6] Fermented cereal-based foods other than bread include beverages, gruels, dumplings used in stews, and fried products. Maize, sorghum, millet, and other starchy materials are used for the preparation of these indigenous cereal products.[4,20,46,48] Fermented porridges were also known in Europe either as indicated by the reports on sowens, flummeries, and other similar oat-based products.[5,9 – 11] Examples of indigenous cereal-based products that have been scientifically studied are ogi and agidi (Nigeria), koko, akassa, and kenkey (Ghana), uji (East Africa), mawe` (Benin), and mahewu (southern Africa). Many of the these products are also made commercially for local markets.[2,6,46] The preparation of fermented sour cereal foods other than bread often follows the simplified pattern shown in Fig. 5. Maize, sorghum, or millet grains are soaked in clean water for 1/2 –3 days. Mixed fermentations, including lactic acid fermentation, take place during the soaking stage. Soaking softens the grains and makes them easier to crush or wet-mill into a slurry, from which hulls, bran particles, and germs can be removed by screening and sieving procedures. Slurrying in water of the material from either wet- or dry-milling supports fermentation, which is allowed to take place overnight or for longer, usually at ambient temperature. The slurrying or doughing stage has many similarities with the sourdough procedures used in traditional European sourdough breadmaking. Back-slopping, i.e., saving part of the previous batch as a starter for the next batch, may be used. The equipment used

Figure 5

Simplified flow sheet of traditional sour porridge preparation.

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Hoang-Dung TRAN and friends may also serve as a source of starter organisms.[3,4,6] Accumulation of acids occurs much in the same way as in a sourdough for bread, as can be seen from the data presented by Akinrele,[86] Andah and Muller,[88] Mbugua,[89] Hounhouigan,[6] and others. In a fully fermented slurry the number of lactic acid bacteria may be as many as 109 CFU/g, which equals cell densities found in a fermented sourdough. When the fermentation is completed, the slurry is boiled with an appropriate amount of water so that gelatinization of starch occurs and a product of desired consistency is obtained. The final product may be drinkable, spoonable, or stiff and dumpling-like. The microorganisms responsible for the souring process have been reported in several studies, as selectively summarized in Table 5. Features of some processes described in the literature and the role of lactic acid bacteria in them are briefly outlined below. Ogi is a fermented semi-product made mainly from maize. It serves as an important meal for people of all ages in West Africa and has many culturally related names and modifications.[20,46] The fermentative microbial flora responsible for the pH decrease in Nigerian ogi production was dominated by Lactobacillus ssp.[90] Ogi is actually the name for the sour starchy sediment marketed locally by women. Various dishes are made from ogi by boiling it with water to make gels of variable stiffness. These include akassa, a stiff gel-like product eaten with fish or meat stew, agidi, a dumpling-like food wrapped in leaves, and koko, a porridge-like food used for breakfast. Like ogi, these end products are commercially available in local markets in western Africa (Adeyemi and Oluwamukomi, 1989).[2,4,6,20,86] The preparation of kenkey differs from the general outline described above in that only part of the fermented maize dough is boiled, and the boiled fraction is mixed back into uncooked dough and allowed to ferment another for 3– 8 hours. The resulting stiff paste is wrapped in leaves and the dumplings are prepared by steaming, boiling, or baking.[2,5,94,98] The main lactic acid bacteria present in the fermenting kenkey doughs were identified as Lactobacillus plantarum, Lactobacillus confusus, Lactobacillus brevis, and Pediococcus pentosaceus.[99]

Table 5

Lactic Acid Bacteria Found in Slurries for Fermented Gruels, Dumplings, and Beverages Species

Lactobacillus plantarum Lactobacillus delbrueckii Lactobacillus casei Lactobacillus fermentum Lactobacillus reuteri Lactobacillus brevis Lactobacillus cellobiosus Leuconostoc mesenteroides Leuconostoc fermenti Pediococcus acidilactici Pediococcus pentosaceus Streptococcus lactis Streptococcus faecalis a

Substrate (Ref.)a Ogi,[90,86] uji,[89] mageu,[92] kishk,[2] togwa[97] Mageu[92] Kishk[4,93] Mawe`,[95] kenkey,[96] togwa[97] Mawe`,[95,4] kenkey[96] Mawe`,[95] togwa[97] Mawe`,[95] togwa[97] Koko,[91] kenkey,[94] idli,[23] puto[4] Koko,[91] uji,[89] kenkey[94] Kenkey[94] Togwa[97] Mageu[92] Idli[23]

Data from: Ref.[2,4,23,86,88 – 97]

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Hoang-Dung TRAN and friends Mawe` is another fermented maize-based semi-product, found in Benin. In contrast to the ogi process mawe is milled without a prolonged soaking stage and the resulting flour is mixed with water to form a fermenting dough, rather than a slurry.[6] Heterofermentative lactobacilli, such as Lactobacillus fermentum, Lactobacillus reuteri, and Lb. brevis, dominate in the fermentation of mawe`.[95,96] Uji is a fermented thin gruel or sour beverage from eastern Africa. It is made from a mixture of maize flour and millet, sorghum, or cassava flour. Sucrose is often added. Uji is one of the major foods in East African diets. The microbiology of uji has been studied by Mbugua and coworkers.[7,89] Sequential fermentation by lactic acid bacteria and yeast is used in the opaque sorghum beer process applied industrially in South Africa.[14] In this process the souring temperature is strictly controlled to 48–508C, preventing the growth of mesophilic organisms and favoring the growth of the thermophilic strictly homofermentative Lactobacillus delbrueckii. After initial souring by the lactobacilli, the process involves cooking, mashing, and straining, followed by a second fermentation stage by Saccharomyces cerevisiae yeast. The final product is not filtered and is still fermenting when filled in road tankers and various containers which have a vent to allow the carbon dioxide to escape. The beer is subject to microbial spoilage by mesophilic lactic acid bacteria and keeps only a few days. A similar type of Kenyan beer called busaa was described by Nout.[100] Starter cultures for the fermentation of traditional cereal foods have been developed.[6,101] Holzapfel[4] has recently discussed the potential of starter culture technologies for small-scale fermentation in developing countries.

VI.

TRADITIONAL CEREAL-BASED FOODS CONTAINING LIVE LACTIC ACID BACTERIA

Processing of cereal foods is often completed with a final boiling or baking stage, which gives the food the intended texture and makes the food more digestible and palatable. This gelatinization simultaneously kills any lactic acid bacteria present in the fermented cereal material. However, there are also processes which involve fermentation after the gelatinizing heat treatment, and hence the product contains live lactic acid bacteria. One example of this type of traditional food is a mixture of soured milk and wheat widely consumed in Egypt and elsewhere in the Arab world. The process involves mixing fermented milk with wheat flour derived from boiled, dried, and ground wheat grains. The resulting dough is formed into balls and sun-dried to make the kishk.[20,86,102] Indian rabadi is a corresponding fresh type of product made from buttermilk and pearl millet.[103] Lactic acid bacteria are also unavoidably present when local beers are made. Brewing of cereal grains into beer undoubtedly was an integrated alcoholic/lactic fermentation process in its original form. In industrial brewing lactic acid bacteria are normally considered undesirable contaminants. Lactic acid bacteria are in part responsible for the restricted keeping time of indigenous opaque low-alcohol beers made from various cereals in many parts of the world.[5,12,20,86] Examples of such beers are kwass, found in Russia, and opaque sorghum beers known in Africa. Lactic acid fermentation is intentionally utilized in the industrial production of certain cereal-based sour beverage specialties. Representatives of Lactobacillus and Pediococcus belong to the fermenting flora of lambic beer made from barley and wheat, a specialty of Belgium. Typical of the process is a very long fermentation period, which takes 2 years or more. The result is a fairly strong, sour alcoholic beer sold in

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Hoang-Dung TRAN and friends bottles. There is a varying live microbial flora in the lambic beers, consisting mainly of various yeasts and lactic acid bacteria.[13,104] In addition to the sour alcoholic sorghum beer discussed earlier, there is also a corn-based sour non-alcoholic beer, mageu (mahewu) inoculated with a Lactobacillus starter commercially produced in South Africa.[15,92] In its original form mageu is made by adding maize meal to boiling water and cooking for 10 minutes. Some wheat flour is added to provide amylolytic activity. A spontaneous inoculum is used, Streptococcus lactis being the main organism. Industrially produced mageu is made by using starter organisms such as Lactobacillus plantarum, Lactobacillus delbrueckii, or Lactobacillus bulgaricus.[20,92] In Tanzania a lactic acid– fermented sorghum or maize gruel, togwa, is used as a weaning food or as a beverage. Since togwa is not heat-treated after fermentation, it contains live lactic acid bacteria, such as Lb. plantarum.[97]

A.

Cereal-Based Probiotic Foods

The probiotic food concept was introduced to clinical nutrition and food science in the 1980s and has been further developed.[105,106] The concept emphasizes the positive physiological effects of certain lactic acid bacteria and bifidobacteria that enter the colon as a food component. In terms of cereal-based foods, it is interesting to raise the question whether any of the the indigenous lactic-fermented cereal foods could carry strains with probiotic properties. Kingamkono et al.[18] found that fermenting togwa inhibited the growth of some enterotoxin-producing bacteria and reported that a significant reduction in the enteropathogen occurrence in rectal swabs of children under 5 years old was achieved when they were fed togwa. Such findings tend to refer to potential probiotic properties. Vogel et al.[44] pointed out that the predominant strains present in sourdoughs and in other lactic-fermented cereal foods are closely related to or even identical to species found in the animal and human intestinal tract. Indeed, it has been found, for example, that Lb. plantarum, a frequent component in indigenous fermented cereal foods, is also a frequent inhabitant of human intestinal mucosa.[107,108] Furthermore, it was shown that a Lb. plantarum strain isolated from a sourdough can become established in human intestinal mucosa after ingestion.[109] The number of beneficial bacteria in the gut may be increased by introducing large numbers of such bacteria in foods or in capsules, but an incorporation of suitable dietary oligosaccharides or polysaccharides may be even more effective. This is known as the prebiotic concept. Such polysaccharides must escape digestion in the upper gastrointestinal tract, and they must be soluble, hydrolyzable, and fermentable by the beneficial gut flora. This description relates to soluble dietary fiber, resistant starch, and unabsorbed sugars and oligo- and polysaccharides. Gibson and Roberfroid[110] suggested the term “colonic foods” for food components entering the colon and serving as substrates for the colon microbiota. Potential prebiotic compounds in cereals are arabinoxylan of rye and wheat and possibly b-glucan of oat and barley.[111 – 113] Probiotic strains can be incorporated in cereal-based lactic fermented foods. Molin et al.[114] suggested the potential of an enzyme-treated fermented oatmeal soup as a nutritive solution for enteral feeding. Another possibility, now in commercial production, is to use cooked oat bran as a substrate for probiotic bacteria and make a yogurt-type nondairy snack, or vellie, which combines the postulated physiologically beneficial effects of oat

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Hoang-Dung TRAN and friends bran and those of probiotic bacteria and serves as an alternative to milk-based and soybased yogurts (Salovaara et al., 1990).[1,115,116] Recent studies have confirmed the suitability of oat and other cereals as substrates for probiotic lactic acid bacteria.[108,117 – 120]

VII.

CONCLUSIONS

Lactic acid bacteria are utilized in the production of cereal-based products in many ways. The lactic acid fermentation contributes beneficially both to processing technology and to quality of the end products in terms of flavor, keeping properties, safety, and overall image of the product. Among cereal foods most scientific research and technological development with respect to lactic acid bacteria has been associated with the sourdough breadmaking process. Traditional fermented cereal foods other than bread, i.e., soured porridges and dumplings, have received some scientific attention. These foods have a major role for millions of people, especially in Africa and Asia, and deserve research and development input in order to improve the quality and attractiveness of these foods as economical and nutritious staples. Proper control of fermentation conditions and use of a starter, possibly from systematic back-slopping procedures, might be useful ways to give added value to the local cereal-based foods. One obvious possibility for any market is the use of selected probiotic starters for the fermentation.

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Gobbetti, M.; Simonetti, M.S.; Corsetti, A; Santinelli, F.; Rossi, J.; Damiani, P. Volatile compound and organic acid production by mixed wheat sour dough starters: influence of fermentation parameters and dynamics during baking. Food Microbiol. 1995b, 12, 497– 507. Gobbetti, M.; Corsetti, A. Lactobacillus sanfrancisco a key sourdough lactic acid bacterium: a review. Food Microbiol. 1997, 14, 175 – 187. Stolz, P.; Bo¨cker, G.; Hammes, W.P.; Vogel, R.F. Utilization of electron acceptors by lactobacilli isolated from sourdough. I. Lactobacillus sanfrancisco. Z. Lebensm. Forsch. Unters. 1995a, 201, 91–96. Stolz, P.; Vogel, R.F.; Hammes, W.P. Utilization of electron acceptors by lactobacilli isolated from sourdough. II. Lactobacillus pontis, L. reuteri, L. amylovorus, and L. fermentum. Z. Lebensm. Forsch. Unters. 1995b, 201, 402 – 410. Stolz, P.; Hammes, W.P.; Vogel, R.F. Maltose-phosphorylase and hexokinase activity in lactobacilli from tradtionally prepared sourdoughs. Adv. Food Sci. 1996, 18 (1/2), 1 – 6. Neubauer, H.; Glaasker, E.; Hammes, W.P.; Poolman, B.; Konings, W.N. Mechanism of maltose uptake and glucose excretion in Lactobacillus sanfrancisco. J. Bacteriol. 1994, 176, 3007– 3012. Gobbetti, M.; Corsetti, A.; Rossi, J. Maltose-fructose co-fermentation by Lactobacillus brevis subsp. lindneri CB1 fructose-negative strain. Appl. Microbiol. Biotechnol. 1995a, 42, 939– 944. Gottschalk, G. Bacterial Metabolism, 2nd Ed.; Springer-Verlag: New York, 1988. Madigan, M.T.; Martinko, J.M.; Parker, J. Brock Biology of Microorganisms, 8th Ed.; Prentice-Hall Inc.: Saddle River, NJ, 1997; 986 pp. Kandler, O. Carbohydrate metabolism in lactic acid bacteria. A. v. Leeuvenhoek 1983, 48, 209– 224. Condon, S. Response of lactic acid bacteria to oxygen. FEMS Microbiol. Rev. 1987, 46, 269– 280. Ro¨cken, W.; Rick, M.; Reinkemeier, M. Controlled production of acetic acid in wheat sour doughs. Z. Lebensm. Unters. Forsch. 1992a, 195, 259 – 263. Ro¨cken, W.; Rick, M.; Mack, H.; Bru¨mmer, J.-M. Versuche zur Kompensierung der Essigsa¨ureverluste beim Trocknen von Sauerteigen. Getreide Mehl Brot 1992b, 46, 139 – 145. Pirttija¨rvi, T.; Salovaara, H.; Ro¨cken, W. Control of acidity and acid ratio in sourdough, 1996, (manuscript). Akinrele, I.A. Fermentation studies on maize during the preparation of a traditional African starch-cake food. J. Sci. Food Agric. 1970, 21, 619 – 625. Steinkraus, K.H., Ed. Handbook of Indigenous Fermented Foods, 2nd Ed.; Revised and expanded; Marcel Dekker, Inc.: New York, 1996. Andah, A.; Muller, H.G. Studies on koko, a Ghanaian fermented maize porridge. Ghana J. Agric. Sci. 1973, 6, 103–108. Mbugua, S.K. Microbiological and biochemical aspects of uji (an East African sour cereal porridge) fermentation, and its enhancement through application of lactic acid bacteria, Cornell University, University Microfilm International, Dissertation Information Service, Ann Arbor, 1981; 140 pp. Odunfa, S.A.; Adyele, S. Microbiological changes during the production of ogi-baba, a West African fermented sorghum gruel. J. Cereal Sci. 1985, 3, 175 – 180. Christian, W.F. Lactic acid bacteria in fermenting maize dough. Ghana J. Sci. 1970, 10, 22–28. Hesseltine, C.W. Some important fermented foods in mid-Asia, the Middle-East and Africa. J. Am. Oil Chemists’ Soc. 1979, 56, 367 –374. Morcos, S.R.; Hegazi, S.M.; El-Damhougi, S.T. Fermented foods in common use in Egypt. J. Sci. Food Agric. 1973, 24, 1153– 1156. Amoa, B.; Muller, H.G. Studies on kenkey with particular reference to calcium and phytic acid. Cereal Chem. 1976, 53, 365 – 375.

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Hounhouigan, D.J.; Nout, M.J.R.; Nago, C.M.; Houben, J.H.; Rombouts, F.M. Characterization and frequency distribution of species of lactic acid bacteria involved in the processing of mawe`, a fermented maize dough from Benin. Int. J. Food Microbiol. 1993 18, 279–287. Halm, M.; Sørensen, L.A.; Jakobsen, M. Microbiological and aroma characteristics of fermented maize doughs for kenkey production in Ghana. Int. J. Food Microbiol. 1993, 19, 135 – 143. Mugula, J.K.; Nnko, S.A.M.; Narvhus, J.A.; Sorhaug, T. Microbiological and fermentation characteristics of togwa, a Tanzanian fermented food. Int. J. Food Microbiol. 2002, 80, 187 – 199. Nche, P.F.; Odamtten, G.T.; Nout, M.J.R.; Rombouts, F.M. Dry milling and accelerated fermentation of maize for industrial production of kenkey, a Ghanaian cereal food. J. Cereal Sci. 1994a, 20, 291– 298. Nche, P.F.; Nout, M.J.R.; Rombouts, F.M. The effect of cowpea supplementation on the quality of kenkey, a Ghanaian fermented maize food. J. Cereal Sci. 1994b, 19, 191 – 197. Nout, M.J.R. Microbiological aspects of the traditional manufacture of busaa, a Kenyan opaque maize beer. Chem. Mikrobiol. Technol. Lebensm. 1980, 6, 137 – 142. Sanni, A.I.; Lo¨nner, C.; Marklinder, I.; Johansson, M.-L.; Molin, G. Starter cultures for the production of ogi, a fermented infant food from maize and sorghum. Chem. Mikrobiol. Technol. Lebensm. 1994, 16 (1/2), 29– 33. Robinson, R.K.; Cadena, M.A. The potential value of yoghurt-cereal mixtures. Ecol. Food Nutr. 1978, 7, 131– 136. Neerja Dankher; Chauhan, B.M. Technical note: preparation, acceptability and B vitamin content of rabadi—fermented pearl millet food. Int. J. Food Sci. Technol. 1987, 22, 173–176. Verachtert, H.; Iserentant, D. Properties of belgian acid beers and their microflora. I. The production of gueuze and related refreshing acid beers. Cerevisia Biotechnol. 1995, 20 (1), 39–41. Fuller, R. Probiotics in man and animals. A review. J. Appl. Bacteriol. 1989, 66, 365 – 378. Shortt, C. The probiotic century: historical and current perspectives. Trends Food Sci. Technol. 1999, 10, 411– 417. Ahrne´, S.; Nobaek, S.; Jeppsson, B.; Adlerberth, I.; Wold, A.E.; Molin, G. The normal Lactobacillus flora of healthy human rectal and oral mucosa. J. Appl. Microbiol. 1998, 85, 88 – 94. Molin, G. Probiotics in foods not containing milk or milk constituents, with special reference to Lactobacillus plantarum 299v. Am. J. Clin. Nutr. 2001, 73 (Suppl), 380S– 385S. Johansson, M.L.; Molin, G.; Jeppsson, B.; Nobaek, S.; Ahrne´, S. Administration of different lactobacillus strains in fermented oatmeal soup: in vivo colonization of human intestinal mucosa and effect on the indigenous flora. Appl. Environ. Microbiol. 1993, 59, 15– 20. Gibson, G.R.; Roberfroid, M.B. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J. Nutr. 1995, 125, 1401– 1412. Jaskari, J.; Kontula, P.; Siitonen, A.; Jousimies-Somer, H.; Mattila-Sandholm, T.; Poutanen, K. Oat b-glucan and xylan hydrolysates as selective substrates for Bifidobacterium and Lactobacillus strains. Appl. Microbiol. Biotechnol. 1998, 49, 175–181. Crittenden, R.; Karppinen, S.; Ojanen, S.; Tenkanen, M.; Fagerstro¨m, R.; Ma¨tto¨, J.; Saarela, M.; Mattila-Sandholm, T.; Ja Poutanen, K. In vitro fermentation of cereal dietary fibre carbohydrates by probiotic and intestinal bacteria. J. Sci. Food Agric. 2002, 82, 781–789. Karppinen, S. Dietary Fibre Components of Rye Bran and Their Fermentation In Vitro; University of Helsinki, VTT Publications 500, 2003; Doctoral thesis. Molin, G.; Albertsson, C.-E.; Bengmark, S.; Larsson, K. Nutrient Composition and Method for the Preparation Thereof. International Patent Application, PCT, WO 89/08405/ U.S. Patent No. 5,190,755, 1993; (1989/1993). Salovaara, H. The time of cereal based functional foods is here: introducing Yosa, a vellie. In Proc. 26th Nordic Cereal Congress; Skrede, G., Magnus, E.M. Eds.; Haugesund, 1996; 195 – 202.

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Salovaara, H.; Kurka, A. Food Product Containing Dietary Fiber and Method of Making Said Product. International Patent Application, PCT, WO 91/17672/ EP 0568530 B1, 1997, (1991/1997). Ma˚rtensson, O. Lactic Acid Bacteria Fermentations in Oat-based Suspensions; Department of Biotechnology, Lund University, 2002; Doctoral thesis. ¨ ste, R.; Holst, O. Lactic acid bacteria in an oat-based non-dairy milk Ma˚rtensson, O.; O substitute: fermentation characteristics and exopolysaccharide formation. Lebensm.-Wiss. Technol. 2002, 33, 525– 530. Charalampopoulos, D.; Wang, R.; Pandiella, S.S.; Webb, C. Application of cereals and cereal components in functional foods: a review. Int. J. Food Microbiol. 2002a, 79, 131 – 141. Charalampopoulos, D.; Pandiella, S.S.; Webb, C. Growth studies of potentially probiotic lactic acid bacteria in cereal-based substrates. J. Appl. Microbiol. 2002b, 92, 851 – 859. Adeyemi, I.A.; Osunsami, A.T.; Fakorede, M.A.B. Effect of corn varieties on ogi quality. J. Food Sci. 1987, 52, 322– 324.

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Hoang-Dung TRAN and friends

16 Human Lactic Acid Microflora and Its Role in the Welfare of the Host ¨ NDAR, EPP SEPP, and HEIDI ANNUK MARIKA MIKELSAAR, REET MA University of Tartu, Tartu, Estonia

I.

GENERAL INTRODUCTION

The host and its indigenous microflora together form a complex ecological system. Various exogenous and endogenous influences direct the developmental pattern and balance/imbalance of the system. In the last edition of Lactic Acid Bacteria, our main interest was focused on the substantial question: How is the microflora established to form a wellfunctioning ecological system? Neonate and experimental animals have served as useful natural models for revealing the ecological impact on the development and stability of human microflora. The various aspects of composition, maintenance, and formation of individual human lactoflora were summarized in the previous edition and are once more addressed in somewhat compressed form in the new version. The recognition of lactobacilli, one of the most common gram-positive bacteria in the human microflora, as an important part of the human microbial ecosystem and the understanding of the various interconnected influences of that system is our starting point. Population studies and clinical investigations have underscored the large individual differences of lactoflora, in terms of numbers and variety of species, depending on the genetic background of hosts as well as their age and health.[1 – 8] Further, application of advanced methods, particularly molecular genetics, into microbiological studies has significantly widened our understanding of microbial ecology in humans and experimental animals. Many observations have been attributed to the beneficial effects of indigenous microbes against pathogens.[9 – 12] However, the role of indigenous microflora seems to be wider than just the competitive exclusion of pathogens. There are many new advancements in the fields of innate and adaptive immunity for the protection of the host against environmental factors, e.g., pathogenic microbes. This has directed 453 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends researchers to answer another important question: What is the impact of indigenous microflora, particularly of lactic acid bacteria (LAB), on the well-being of the host? Lactobacilli usually inhabit various organs as innocuous commensals. Since the turn of the twentieth century, human lactobacilli have been considered contributors to human health.[13] Metschnikoff’s well-known statement, “There are many useful microbes, amongst which the lactic acid bacteria have an honorable place,” has stimulated extensive investigation of the bacterial group’s properties. The presence of lactobacilli in different areas of body and their role in host and microflora-related physiochemical conditions have become one of the subjects of microbial ecology.[1,14 – 23] Recent work has brought the knowledge that the prevalence of adverse reactions to environmental factors, particularly the prevalence of allergic diseases, has increased over the past 40 years in western Europe.[24] An analysis of the possible reasons of the increased prevalence of allergy must be based on the assumption that the occurrence of factors that have the potential to stimulate allergic sensitization has increased or that hypothetical environmental allergy-protective factors have been lost.[25] The prevalence of atopic diseases correlates with the socio-economic level of a country. This tendency has been associated with the “hygiene hypothesis” and “western lifestyle.”[25,26 – 29] It has been suggested that the western diet with its increased intake of unsaturated fatty acids and free oxygen radicals might be one triggering factor. However, microbial exposure is also a potent exogenous factor in the maturation of the immune system.[29 – 33] Therefore, the role of indigenous microflora in the prevention of allergic sensitization has been the attention of several investigators[34 – 36] In this chapter we summarize studies[37,38] concerning differences in the composition of intestinal microflora during neonatal period and infancy in Estonia with a low and Sweden with a high prevalence of childhood allergy.[39,40] These studies confirm the data of previous authors regarding the existence of geographical differences in the human microflora.[41,42] Moreover, cross-sectional and prospective studies have shown pronounced differences in the establishment of intestinal microbes in allergic as compared to nonallergic children.[43,44] These findings have encouraged the hypothesis regarding the role of particular intestinal microbes in the induction of oral tolerance, allergic sensitization or downregulation of mast cells reactions to allergens at the different periods of life (neonate, infant, 1- to 5-year-olds). The achievements in human microbial ecology, immunology, and nutrition as well as a better understanding of the pathogenesis of chronic cardiac and neurological diseases have been the basis to start new prophylactic measures for human health. New trends such as functional foods have started to influence large segments of the population.[45] Probiotics, mainly lactic acid bacteria, are considered the part of functional food with potential health-promoting traits for prevention of intestinal tract infections and/or stimulation of several host physiological factors.[46] Among probiotic lactobacilli, different functional capabilities have been claimed for certain strains including antiatherogenic, anticarcinogenic, anticonstipation, and antiallergic potential.[47] Another important aspect is health promotion starting from birth. The possibility of controlling the colonization of neonates could open new perspectives for prevention of infections and allergy. This chapter introduces a novel probiotic strain Lactobacillus fermentum ME-3 (DSM 14241) expressing substantial antimicrobial and antioxidative effects.[48] These health-promotional properties of the strain are promising and in addition to improvement of gut microbial interrelations, an impact on the biotopes antioxidative conditions has been suggested. Recently, in an experimental mouse model of Salmonella Typhimurium infection, we demonstrated the possibility of balancing the antioxidativity of damaged gut Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends mucosa during the oral administration of L. fermentum ME-3.[49] This is the basis for understanding how the strain ME-3 can exert the antioxidative and antiatherogenic effects, as shown recently in blood sera of volunteers.[50]

II.

LACTOBACILLI IN THE HUMAN MICROBIAL ECOSYSTEM

A.

Components of the Microbial Ecosystem

On their surfaces and organs, humans harbor a normal, or indigenous, microflora,[51,52] the number of which (1013 – 1014) exceeds the total number of body cells 10 times.[53] These populations of microorganisms form open ecosystems in humans featuring dynamic, yet relatively stable interactions between the normal microflora of various locations and the host.[54 – 56] The human gastrointestinal, genital, and skin microbial ecosystems are the most diverse, harboring the highest populations of microorganisms. Ducluzeau[56] defined an ecosystem as comprising a group of microbial populations coexisting in an equilibrium in a spatiotemporally defined region. From an ecological point of view, the inclusion of terms such as microbiocenosis and microbiotope could be helpful in describing human microbiota. The main unit of a microbial ecosystem is the microbiocenosis: the association of qualitatively different groups of microorganisms having dynamically fluctuating but relatively stable quantitative characteristics.[16,57,58] A microbial ecosystem always contains several microbiocenoses located in certain microbial biotopes of the host. A microbial biotope (microbiotope) is an area or place suitable for the survival and growth of particular microorganisms.[16] The gastrointestinal mucosal surface is calculated to be 150– 200 m2.[59] More than 75% of the wet weight of the fecal output is composed of bacteria, with each gram containing approximately 1
1011 microbes.[60] There exists a vertical distribution of microorganisms in the gastrointestinal tract, differentiating between gastric, duodenal, jejunal, ileal, cecal, colonic, rectal, and fecal microflora. One of the most important scientific achievements in human microbial ecology studies has been the discovery of an association of microflora with definite habitats and its division into luminal and mucosal for different organs.[61 – 65] Zoetendal et al.[66] showed that in the colon, denatured gradient gel electrophoresis (DGGE) profiles of predominant populations were highly similar in different individuals, while they differed significantly from those of fecal populations. This indicates that different populations of microorganisms predominate in the colonic mucosa and the feces.[67] These findings also explain why the complex microbial communities of different biotopes are comprised of both transient and relatively persistent components.[68] Analogous divisions could also be found in other microbial ecosystems, e.g., the urogenital niche.[69] The microbial biotope determines not only the anatomical localization for the microbiocenosis but also its functional state through a complex of host- and microflora-derived physicochemical conditions, including pH, redox potential, nutrient availability, peristalsis, and transit time.[70 – 72] Recent studies have indicated that bacteria that reside in the GI tract are far from inert commensals, but are actively communicating with the immune system and gut epithelial cells.[73] This can result in clear protection against a wide range of mucosal pathogens and influence host welfare. 1.

Systematics of Lactobacillus spp.

Lactobacilli are gram-positive, rod-shaped, facultatively anaerobic, nonsporulating, acidtolerant, and catalase-negative bacteria with a DNA base composition of less than 53 mol% G þ C. The grouping of lactobacilli has developed from division into the subgenera like Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends Thermobacterium, Streptobacterium, and Betabacterium according to their growth temperatures and their hexose fermentation pathways.[1,74 – 76] However, it is widely acknowledged that the taxonomy of the Lactobacillus genus is unsatisfactory due to phenotypic heterogeneity.[77] Modern molecular methods have shown that these subgroups are inconsistent with the phylogenetic relationship of the species within the genus.[78] This is the case particularly for the Lactobacillus acidophilus and Lactobacillus casei groups.[79] Using classical phenotypic characterization, the L. acidophilus group may be divided into different biotypes, which again do not correspond with the various phylogenetically defined species within the genus.[80] Despite the fact that the general basis for the classification of LAB in different genera has largely remained unchanged since the work of Orla-Jensen,[81] phylogenetic classification now relies on molecular biology methods, especially on the species level. The identification and phylogeny of bacteria has been based on the comparison of highly conserved molecules of the 16S ribosomal ribonucleic acid (16S rRNA) genes.[82] The studies based on 16S rRNA sequences have shown close relationships between the genera Lactobacillus, Leuconostoc, Pediococcus, Oenococcus, and Weissella. The principal groupings are summarized as follows: (a) the Lactobacillus delbrueckii group, (b) the L. casei –Pediococcus group, and (c) the Leuconostoc group, including species from the genera Lactobacillus, Ocenococcus, and Weissella.[83] In addition, based on the type of cell wall and the fermentation pathways for pentoses and hexoses, lactobacilli are divided into three groups as follows: obligately homofermentative lactobacilli (OHOL), facultatively heterofermentative lactobacilli (FHEL), and obligately heterofermentative lactobacilli (OHEL).[84] Lactobacilli can be identified by means of gas chromatography (GC), high-pressure liquid-gas chromatography, fermentation of carbohydrates, soluble protein content, cell wall components, and DNA profile.[65] Previously, identification has been based on the phenotypic properties of lactobacilli. However, the taxonomy of the genus Lactobacillus is unsatisfactory due to phenotypic heterogeneity.[77] Therefore, the classical culture-based techniques are now being supplemented with molecular tools. Recently, molecular biological methods such as polymerase chain reaction (PCR) with specific primers, DGGE (Fig. 1), and temperature gradient gel electrophoresis (TGGE) have been shown to be powerful approaches in determining and monitoring bacterial community in the gastrointestinal tract.[85 – 87]

B.

Lactobacilli in Various Biotopes

Human microflora consists of a large number of different groups and species of microorganisms. The human body is inhabited by more than 500 different species, among them lactobacilli.[88,89] Interest in their occurrence, numbers, and role within microbial ecosystem of humans has survived a whole century.[1,13 – 15,21,90 – 94] Lactobacilli have been found in the gastrointestinal tract, vagina, on the skin, in the nasal and conjunctival secretions, and in the ear, breast milk, and sperm.[87,95 – 98] 1.

The Digestive Tract

Sufficient data are available regarding Lactobacillus spp. in the proximal and distal parts of the intestine, but knowledge about the content of lactobacilli in the ileum, cecum, and colon of healthy subjects is inadequate (Fig. 2). Therefore, our present knowledge on the bacterial diversity of the gastrointestinal tract is based mainly on analysis of oral and fecal Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Figure 1

Species-specific identification of lactobacilli by denaturating gradient gel electrophoresis (DGGE) method. (A) Identification of representatives from FHEL group using primer set ENV1 and TTGE-gc (amplification between U1 and U2 regions of the 16S ribosomal RNA gene). (B) Identification of representatives from OHOL and OHEL group using primer set Lac1 and Lac2-gc (amplification of the V3 region of the 16S ribosomal RNA gene). (C) Differentiation between representatives from OHEL group (L. fermentum and L. reuteri) using primer set Lac1 and Lac2-GC (amplification of the V3 region of the 16S ribosomal RNA gene).

samples. The same can be said about the mucosal lactoflora, and the main reasons for this are the methodological limitations of obtaining biopsy samples from these areas.[65,67,70,99] Oral lactoflora has been investigated in numerous studies. Lactobacilli are common inhabitants of the oral cavity, although they usually comprise less than 1% of the total cultivable microflora.[100,101]

Figure 2

Schematic representation of lactobacilli numbers (log CFU/g) in a healthy human’s gastrointestinal tract. [Data adapted from[6,67,68,89,96,101,106,108,121,122].]

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Hoang-Dung TRAN and friends The microflora of the small intestine has been regarded as a mixture of gastric and colonic microflora, the latter appearing mainly in the ileum. The numbers of microorganisms in the proximal jejunum are approximately 104/mL while the oropharyngeal microflora is predominating. However, in a recent study Lactobacillus microorganisms were revealed in only 2 of 20 healthy subjects.[102] Lo˜ivukene et al.[103] showed that rare colonization by Lactobacillus spp. was also characteristic of the gastric mucosa of Helicobacter pylori – negative children (9/65) and adults (1/29). In recent fecal studies, a 60 – 80% prevalence of lactobacilli was detected in onemonth-old infants.[104] In adults it was found that Lactobacillus strains were present in the gastrointestinal tract of approximately 70% of humans that consume a western-type diet.[8] In elderly persons the prevalence of lactobacilli is high.[96,105] Earlier studies demonstrated that in the fecal microflora of adults the Lactobacillus spp. counts reach 1010 CFU/g and are outnumbered only by obligate anaerobes.[89] However, more recent studies have shown that facultatively anaerobic lactobacilli did not usually exist at such high counts in feces, reaching only 108 –109 CFU/g in children.[37] It is possible that the 10-fold higher counts were previously obtained by grouping lactobacilli together with bifidobacteria. We have developed criteria for the evaluation of the quantitative composition of fecal microflora. Of all fecal microorganisms, individual types of anarobes (bifidobacteria, eubacteria, anaerobic cocci, and/or bacteroids) in the predominant flora repress the subdominant flora, e.g., potentially pathogenic microorganisms (enterobacteria, staphylococci, streptococci, enterococci, clostridia, and yeasts). The following criteria for the subdominant flora were assessed (Table 1): for 5-month- to 1-year-old infants, ,15%; for adults, ,10% for the total microbe count.[106 – 108] Application of a special computer program helps to calculate the distributions of different groups of bacteria in

Table 1

Criteria for Evaluating Fecal Microflora of Infants (5 months to 1 y) and Adults (16 – 50 y) Infants Range Microbes

Median

Adults % of total count

log CFU/g

Coliforms 6.6 – 9.8 8.3 Proteus 0 – 6.3 4.0 Staphylococci 0 – 8.3 5.0 Streptococci 0 – 9.4 7.8 Lactobacilli 0 – 9.0 6.6 Eubacteria 0 – 11.0 9.0 Bifidobacteria 0 – 11.8 9.0 Clostridia 0 – 7.6 5.0 Anaerobic cocci 0 – 11.1 10.0 Bacteroides 0 – 11.3 9.8 Yeasts 0 – 9.0 4.7 Total % of subordinate microbes a

Potentially predominant microbes.

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norm ,10.0 ,0.02 ,0.2 ,3.0 ,1.3 55.6a 99.6a ,0.01 94.7a 95.1a ,0.1 ,15.0

Range

Median

log CFU/g 5.8 – 9.6 0 – 6.3 0 – 8.6 0 – 9.3 0 – 9.0 0 – 11.0 0 – 11.3 0 – 7.2 0 – 11.3 0 – 11.3 0 – 6.8

7.3 3.0 3.6 7.0 7.0 9.0 9.6 4.0 10.0 10.0 0

% of total count norm ,3.5 ,0.01 ,0.01 ,2.0 ,0.1 56.3a 78.0a ,0.1 95.1a 97.8a ,0.01 ,10.0

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Hoang-Dung TRAN and friends the total bacteria count from a particular sample.[109] By these indices the imbalance and the shifts of the quantitative composition of fecal sample could be easily evaluated in association with different environmental factors[37,38,43,44] (Table 1). Using this approach,[106] the relative abundance of lactobacilli in the total count of fecal bacteria for particular persons has been estimated: ,2% in children up to 1 year and ,0.1% in adults.[108] Sghir et al.[110] has also shown that Lactobacillus spp. constitute ,1% of the total bacterial community within the human fecal microbiota. Recently, using a fluorescent in situ molecular hybridization technique (FISH), Marteau et al.[67] found that though the counts of cecal lactobacilli are quite close to counts of fecal lactobacilli (8.4 vs. 8.8, respectively), their distribution in total count is quite different (23% vs. 7%). These data on the high distribution levels of the Lactobacillus-Enterococccus group indicate their importance in the mucosal flora of the large intestine. The lactoflora of the human gastrointestinal (GI) system consists of various species, subspecies, and biotypes of homo- and heterofermentative LAB. The most frequently occurring lactobacilli belong to six species: L. acidophilus, L. salivarius, L casei, L. plantarum, L. fermentum, and L. brevis in various combinations.[3,5,70,91,92,111,113] In addition to these, the frequent occurrence of L. reuteri in the GI tract of humans and animals has also been shown.[76,114] In the oral cavity a wide range of species have been found: L. acidophilus, L. salivarius, L. casei, L. rhamnosus, L. plantarum, L. fermentum, L. cellobiosus, L. buchneri, and L. brevis.[101,115 – 118] No special species or subspecies of Lactobacillus characteristic of the oral cavity have been assessed to date. In a recent study we isolated salivary lactobacilli from all studied persons, with most persons having high or very high bacterial counts.[119] We isolated nine species of lactobacilli belonging to all fermentation groups, the most prevalent of which were L. fermentum, L. plantarum, L. casei, L. gasseri, and L. salivarius. In rectal biopsies the most prevalent colonizers of the Lactobacillus spp. were the L. acidophilus group, L. salivarius, L. casei, L. rhamnosus, L. plantarum, L. fermentum, L. buchneri, and L. reuteri.[115,120] Zoetendal et al.[66] showed that L. gasseri was found in descending colon biopsy samples of 9 out of 10 adults, which indicates that this species may also be regarded as a general mucosa-associated bacterium in humans. Previously L. gasseri was included in the L. acidophilus group. In various GI biotopes of a particular host the species of lactoflora can differ.[99] Clear differences in the composition of lactobacilli species were present in the lactoflora of saliva and feces from healthy young men.[4] The fecal lactoflora was usually richer in the number of species and biovariants. Yet the presence of different biovariants detected in saliva and feces of investigated persons coincided to some extent ( p , 0.05, Fischer’s exact test). The similarity of mucosal and luminal Lactobacillus spp. has been indicated by Zoetendal et al.,[66] who found that the DGGE profiles of colonic biopsy and fecal samples in close proximity to each other were similar for the Lactobacillus group.

2.

The Reproductive Tract

The reproductive tract of healthy women contains microorganisms in the vagina and cervix, whereas the upper tract is considered sterile.[123] The first extensive study of vaginal microflora was published in 1892 by Do¨derlein, who inspected stained smears and found that the healthy vagina harbored principally a

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Hoang-Dung TRAN and friends single species, named Do¨derlein’s bacillus, today known as Lactobacillus. Soon the cultures of vaginal secretions revealed many other micro-organisms. The predominant microorganisms of the vagina are microacrobic and facultatively anaerobic lactobacilli, streptococci, and some other lactic acid – producing microbes.[98,124 – 126] From recent studies up to 100 different species have been identified in the vagina. However, lactobacilli are still considered the predominant microorganisms in the healthy vagina, their number reaching 108 –109 CFU/mL.[127,128] In early studies, L. acidophilus and L. fermentum were considered the most prevalent species of vaginal lactobacilli.[1,92] In contrast, recent studies using precise molecular methods have suggested L. crispatus, L. jensenii, and L. gasseri [98,129] to be the predominant lactobacilli in the vagina. Some novel species like L. iners [98,130] and rare colonizers of the intestinal tract like L. jensenii and L. rogosae,[131] L. delbrueckii subsp. delbrueckii and L. agilis [132] have also frequently been found. For example, Horowitz et al.[133] identified eight different species from the vagina: L. acidophilus (37%), L. minutus (3%), L. jensenii (10%), L. fermentum (7%), L. casei (24%), L. helveticus (3%), L. brevis (3%), and L. plantarum (6%). The number of different species in individual samples also varies greatly. RedondoLopez et al.[123] found that there could be up to four species of lactobacilli in one sample of a healthy nonpregnant individual, each woman having an individual type of species composition. In contrast, in the study of Vasquez et al.[98] the vaginal lactoflora of most women consisted of one species only. Thus, different investigators have found different species of lactobacilli in the vagina; no single species has been consistently isolated from all women. The main reasons for these varied results seem to be different sampling sites within the vagina (upper-lower part, lumen-mucosa, etc.), different laboratory techniques, and differences in external factors controlling microflora at sampling time; geographic, ethnic, and individual differences are also possible.

C.

Stability of Human Microflora

1.

Individuality of Microflora

The individual differences in species composition and the numbers of microorganisms in the vagina[1,17,92,98,134,137,138] and intestine[136 – 139] have been documented by many investigators studying the microbial ecosystems of adult organisms. However, controversial data have been obtained regarding the stability of individual microflora of various biotopes. Earlier bacteriological studies showed that the composition of indigenous microflora varied greatly over a period of several months[140] or even as little as a few days.[141] However, the classic study by Holdeman et al.[136] found the quantitative composition of fecal microflora to be very specific for a particular host. First, the stability of the quantitative composition of the fecal microflora of a particular host has meant the persistence of stable quantitative relations between the most common and predominant groups of microorganisms.[137,142] Similarly, after a year’s study of the fecal microflora from 10 healthy volunteers, stable relationships between the numbers of different aerobic and anaerobic groups of microorganisms were ascertained as characteristic for a particular individual.[6,143] In addition, particular strains have been found to persist over long periods. Only a few species of microorganisms inhabiting the GI tract have been followed for their persist-

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Hoang-Dung TRAN and friends ence in the same person during long periods. The stable occurrence of the same strain[8,23] or particular biotypes of Bifidobacterium [144] and Bacteroides [145,146] have been proven. Similarly, recent studies using 16S rRNA – based approaches have shown that the predominant human intestinal microflora is relatively stable from the perspective of bacterial genera and each individual harbors a specific bacterial community for at least 6 months.[8,86,147] Furthermore, the stability of excreted bacterial metabolites has been shown to reflect the stable microbial community in the host. The microbial ecosystem as a whole is successfully characterized by biochemical studies determining the metabolites of microorganisms excreted from the human body. The very specific and stable composition of various bacterial metabolites excreted in the urine or feces has been revealed by several researchers.[71,148 – 156] Thus, it is obvious that the host- and microflora-derived physicochemical conditions of microbial biotopes cannot be too similar for different persons and in that sense microbial ecosystems are always deeply individual, showing specific inter-individual peculiarities.

2.

Individual Stability of Lactoflora

Feces. The number of lactobacilli in fecal samples of different persons seems to be quite variable.[99,137,157] In a survey over a 15-year period of 10 healthy volunteers[6,112,143] the ranges of counts for lactobacilli varied for each individual (interindividual variation from 5.1 to 8.3 log CFU/g). However, a stable and characteristic number of lactobacilli and the stable persistence of fecal Lactobacillus species were revealed for each person.[105,112] In every adult volunteer one or two species or even the same biotype occurred repeatedly, although during the study the persons aged and thus had several health failures and used some medicines. It is notable that all 10 volunteers are still in full health even now, more than 35 years later. Similar results were obtained by studying the seasonal variation of fecal lactoflora: in 7- to 12-year-old children the same biotypes of lactobacilli were detected in 70% of cases during one-year follow-up.[158] The prolonged biological isolation of healthy persons during special training or space flight caused shifts in the numbers of opportunistic microorganisms.[159] Yet, close physical contact did not eliminate the individual specificity of their lactoflora in terms of species or bacterial number.[2,3,160] Using molecular methods (PFGE, TGGE), the stability of lactoflora on the strain level has been followed. Kimura et al.[23] showed by PFGE that eight of the nine subjects had transient strains of lactobacilli as resident intestinal bacteria for three to nine months. This demonstrates the remarkable stability of lactoflora despite the temporary and mutable environmental conditions of the intestine of either exogenous or endogenous origin. In addition to stability, it has also been shown that several factors may influence the composition of the microflora of a normal individual. As reviewed by Moreau and Gaboriau-Routhiau,[161] in addition to differences in microflora according to age (infants and elderly persons) and diet, other factors such as stress or antibiotic treatment induce variations in human intestinal bacterial microflora, resulting in subdominant species or even pathogens becoming temporarily dominant. There are very few studies characterizing Lactobacillus spp. in older people, whereas thousands of investigations have been made of newborn or infant lactoflora. Lerche and Reuter[91] could not isolate lactobacilli in the feces of elderly individuals,

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Hoang-Dung TRAN and friends but Speck[162] described higher counts of lactobacilli and clostridia and lower numbers of bifidobacteria in aging persons compared to those seen in younger adults. In the 1970s we investigated healthy seniors (65 – 89 years) and found that all persons were colonized with lactobacilli. Many of these individuals had high counts of up to 8.0 log CFU/g (Table 2). Similar results (up to 7.8 log CFU/g) were shown by another recent study.[102] We further demonstrated that the species distribution of Lactobacillus was similar in senior and healthy adults: even the number (one to four species) of different lactobacilli species isolated from one sample coincided in both groups.[105,143] Silvi et al.[163] have described the specific profile of Lactobacillus spp. in the elderly and showed a high prevalence of L. fermentum, similar to our study. The authors suggested L. fermentum as a good candidate to be utilized for the design of appropriate functional foods to fortify the intestinal microflora of the elderly. This has not been described concerning bifidobacteria and bacteroides, as the former diversity decreased and that of the latter increased in the feces of healthy elderly persons.[164,165] In elderly persons the revealed differences in Bifidobacterium spp. distribution have been explained by the loss of some properties of intestinal mucus necessary for adhesion of endogenous bifidobacteria.[164] In adults, geographical differences in the composition of normal microflora appear to be mainly connected with diet, which plays an important role in the composition of intestinal lactoflora;[166] (reviewed in Ref.[72]). There are some studies comparing the microflora of adult people living in England and America with that of the people in Uganda, Japan, and India. The English people had significantly more bifidobacteria and bacteroides, but fewer LAB such as streptococci, enterococci, and lactobacilli, than Ugandans.[167] It has been concluded that vegetarian diets support the aerobic and microaerobic components of intestinal microflora.

Vagina. Premenarcheal and postmenopausal microflora are simpler and less prone to change than that found during the menstrual stage.[123,127] During menstrual flow, nutrients such as cellular constituents, hemin, and other blood proteins become a part of the total environment, the redox potential decreases, and the pH increases to 5.5 – 6.0. The total number of microbes decreases and the populations of lactobacilli decline concomitantly with an increase in the numbers of the other gram-positive organisms. The

Table 2 Diversity of Lactobacillus spp. in Healthy Young (21 – 44 y) and Elderly (65– 89 y) People

Homofermentative lactobacilli Facultatively heterofermentative lactobacilli Obligately heterofermentative lactobacilli

L. acidophilus L. salivarius L. casei var. rhamnosus L. casei var. alactosus L. plantarum L. buchneri L. brevis L. fermentum

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Young individuals n ¼ 10, 43 isolates

Elderly individuals n ¼ 12, 44 isolates

7/10

4/12

6/10

7/12

8/10

7/12

6 species

7 species

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Hoang-Dung TRAN and friends decrease of the resident Lactobacillus population may be related to the temporary loss of cell surface receptors during menstruation. Despite these major recurrent changes, studies show that after menstrual flow has stopped, the changes in microflora disappear so that for each woman the phenotypes appear to be stable over an extended time frame.[127,168,169] Recent data show that transient changes in vaginal flora are much more common than anticipated. Schwebke et al.[170] performed an interesting study following vaginal flora daily in 51 women during 6 weeks. This study revealed that 78% of women have significant, although transient, changes in vaginal microflora, while only 22% of women have a normal Lactobacillus-dominated flora at any given time. Factors significantly associated with shifts in vaginal microflora included menses, use of vaginal medication and spermicide, condom use, number of sexual partners, and frequency of vaginal intercourse per month. Investigations of vaginal microflora during pregnancy[124,171,172] have shown that anaerobic species decline and lactobacilli become increasingly predominant. Yeasts can also be found more frequently. Possible mechanisms of these changes include the altered hormonal state, increased pH, and increased glycogen content of the vaginal epithelium.[173] Unfortunately, few studies of the vaginal microflora have included a control group of nonpregnant women. We have compared the vaginal microflora of healthy pregnant women with women with a threatened abortion.[134] The relative amount of lactobacilli in vaginal microflora increased as gestation advanced (Fig. 3). This shift started in women with a threatened abortion somewhat earlier (17 – 22 weeks of pregnancy) than in the control group (24 – 26 weeks). This could be explained by the influence of hormonal preparations administered to support the gravidity in cases of threatened abortion. The predominance of lactobacilli at the end of pregnancy may be considered a preventive mechanism offering protection to the fetus and neonate. This study allowed us to find seven individual types of vaginal microflora on the basis of stable predominant microorganisms. The lactobacillicontaining types (four variations) were the most common in both groups, yet the pure Lactobacillus type was found in only three women.[174] The microbes of greater pathogenic potential such as coliforms, clostridia, bacteroides, and b-hemolytic streptococci, did not form a stable part of the microflora. Some types (coryneforms and cocci) were strongly correlated (r ¼ 0.67, p , 0.01) with bacterial vaginosis, which was found in nearly one third of the samples. This finding corresponds to the study of Onderdonk and Wissemann,[127] who posited that no one type of vaginal microflora is “normal” for all women. Vaginal microflora has been shown to be self-regulating according to some external influences. It has been revealed that parenteral short courses of penicillin or cefazolin do not alter the vaginal flora.[175] At the same time, Hooton et al.[176] found that spermicide caused a decrease in vaginal Lactobacillus counts. Unfortunately, they did not follow up the vaginal flora of these women. In women exposed daily for 7 days to a douche product containing chlorhexidine gluconate 0.5%, one week after the last application of the douche, the vaginal flora was virtually identical to that observed before the course. A similar study with povidone iodine also showed stability of the flora.[177] The data of Ness et al.[178] indicate the self-regulating nature of vaginal flora: douching at least once per month was related to increased frequency of bacterial vaginosis, and recent douching (within 7 days before examination) posed the greatest risk for bacterial vaginosis. Preventive douching with antiseptics may temporarily destroy the normal flora and its colonization resistance and keep the pathogens alive.

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Figure 3

Dynamics of the relative proportion of lactobacilli and occurrence of bacterial vaginosis (BV) during pregnancy.

Stability of the vaginal flora emphasizes the point that microorganisms colonizing mucosa are well adapted to their environment, and even when perturbation of the ecosystem occurs recolonization is likely. The problem of individual stability of human microflora is closely connected to its formation, mainly during vaginal delivery and contamination with the mother’s vaginal, perineal, and intestinal microbes. III.

ESTABLISHMENT OF INFANT MICROFLORA

The pathways, mechanisms, and factors that play a role in the contamination of the sterile fetus during labor and of the newborn during the first hours and days of life, also determining its microflora formation, have attracted the attention of scientists for nearly 100 years.[104,150,179 – 183] Two stages can be distinguished in the formation of normal human microflora: first, the aquisition of microorganisms by transmission of the mother’s microorganisms and, second, the successive colonization of the different habitats of the neonate by bacteria

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Hoang-Dung TRAN and friends of different environmental origins.[51,184] Real colonization means the persistence of microorganisms in the biotope up to 14 days after first appearance.[185,186]

A.

Transmission of Microorganisms from Mother to Infant

Several authors suggest that the neonate is sterile during intrauterine life.[95,187] Contamination with commensal bacteria, derived from the microflora of mother’s vagina, intestine, and skin and from the environment, occurs soon after birth.[188 – 191] Many of these microbes are unable to colonize habitats in the neonate and disappear soon after birth, whereas other microorganisms persist or may support successive colonization during the early life period to form climax communities in the adult.[52,63] The interest of investigators in the above field has been focused in two directions. The practical goal of preventing antenatal and perinatal infections, particularly early sepsis, has been the predominant area. The main etiological agents are group B streptococci (GBS), enterobacteria, Listeria, Haemophilus influenzae, Clostridium perfringens, and coagulase-negative staphylococci (CONS).[183] A newborn obtains these bacteria from the mother’s urinary, genital, or intestinal tract. Some 40 – 60% of pregnant women have been colonized by virulent, encapsulated CONS and some 4 – 31% of them by GBS.[182] However, due to the transplacentally acquired antibodies, of the 50% of neonates who become contaminated with mother’s GBS, only 1– 2% present with clinical symptoms.[192] Enterobacteria are considered one of the most frequent agents of neonatal infections. Usually the more virulent strains of Escherichia coli persist in the intestinal tract of the mother. The innate resistance of the neonate seems to be crucial in the prevention of the development of early sepsis. Opportunistic microorganisms are kept in mutual or commensal interactions with the host by various factors of the macroorganism and other microorganisms of the indigenous microflora.[51,193] Resident strains of the indigenous microflora, through various mechanisms, protect the baby from the very beginning of its life from randomly acquired opportunistic strains.[95,187,190,194] Thus, the second area of the investigations of microflora transmission from mothers to newborns has concentrated on the problem of how the colonization-controlling indigenous microflora is formed. In this respect there has been a resurgence of interest in the colonization of the neonate by lactobacilli.[38,97,182,196] 1.

Early Contamination of Newborn

Several studies have shown that the gut of neonates is quickly colonized by facultative anaerobes, including enterobacteria, staphylococci, lactobacilli, and streptococci.[183,191,197,198] This is followed by colonization with anaerobic genera such as Bacteroides, Bifidobacterium, Eubacterium, Clostridium, and Peptostreptococcus.[183,190,191,198,199,200 – 202] In the initial phase, the intestinal microflora depends on the mode of delivery as well as on several maternal and environmental variables. Several studies have described the early contamination of the newborn, comparing the neonate’s and mother’s microflora. Data on the transmission of lactobacilli from mother to neonate during birth, mode of delivery, hospital conditions, and the effect of feeding on the establishment of lactoflora in economically diverse countries contribute to the understanding of the influence of various environmental factors on neonatal lactic acid bacteria.[125,135,182,203 – 207]

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Hoang-Dung TRAN and friends Rotimi and Duerden[189] in their now classic study found that immediately after birth lactobacilli were present both in children’s mouths and in their mothers’ vaginas in 52% of cases. Only in rare cases were lactobacilli isolated either from the mother (14%) or from her neonate (9%). The presence of lactobacilli in human milk and maternal skin and their stable persistence in cecum and feces[67] surely facilitates the transfer of the aforementioned microbes from mother to neonate, as demonstrated by several studies.[95,97,125] We have performed two studies comparing the delivery tract of 21 mothers before any treatment with antiseptics and their newborns’ external ear canal microflora immediately after birth. The material from the neonate’s external ear canal was considered representative of the transfer of microorganisms from mother to the neonate because this area seems to be rarely contaminated by the hands of the obstetrician. The most common microorganisms were the same for both the mothers and their newborns: lactobacilli, epidermic staphylococci, and nonhemolytic streptococci. Various individually different combinations were observed in mothers and their babies. All of the microorganisms detected in the ear of a child were present in the samples taken from its mother’s perineum, but not all mothers’ microbes were found in their newborns. In the second study, 19 mother-newborn pairs were examined immediately after delivery.[125] For the newborns, the specimens were obtained from the external ear canal as in the previous study; for the mothers, high vaginal swabs were taken. Before delivery, at least two vaginal and perineal douching applications with a chlorhexidine solution (0.005%) were performed. We isolated 16 different groups of microorganisms from mothers and 13 from newborns, with the most common microorganisms being streptococci. Various individually different combinations of up to eight microbes were observed per sample in mothers and up to six microbes per sample in babies. As many as 84% of mothers and 74% of newborns were heavily colonized, and all minimally colonized mothers delivered minimally colonized babies. Bonang et al.[191] also showed a similarity of different biotypes of fecal Enterobacteriaceae in 51 mother-infant pairs at birth, at one week, and at 2 and 4 months. For the heavily colonized 14 motherbaby pairs we calculated the relative distribution of microorganisms (%) per sample and estimated the predominant (.10%) microorganisms (Fig. 4). We found one or two similar predominant microorganisms in 12 mother-newborn pairs. Streptococci were the most common predominant microorganisms, occurring in 4 mother-newborn pairs. In no cases did the mothers and their newborns harbor similar potentially pathogenic microorganisms. Lactobacilli, frequently found in mothers, were quite rarely isolated in newborns immediately after birth. The results may depend on the relatively higher resistance of cocci to disinfectants as compared with lactobacilli.[208] Evidently, the idea of decontamination of the birth canal by modern antiseptics (chlorhexidine) before delivery[209] may lead to a selective transfer of maternal bacteria, unfortunately excluding lactobacilli. Thus, we can assume a close association, both qualitative and quantitative, between the individually different microflora of a mother’s perineum and vagina and that of her newborn. Consequently, the predominant pattern of the mother’s genital microflora has a significant influence on the initial microecological condition of her newborn. To date the assumption that the source of the bacteria that finally colonize the infant is the maternal vagina has been revised by the help of discriminatory tests permitting the comparison of bacterial strains isolated from maternal and infant sources. Plasmid profiling has proven a useful technique for this. Tannock et al.[195] compared the plasmid profiles of the microbes of the family Enterobacteriaceal, lactobacilli, and bifidobacteria Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Figure 4

Similar predominant microorganisms in 12 mother-newborn pairs immediately after delivery. Specimens were collected from vagina of mothers and from external ear of newborns.

cultured from the vaginal, oral, and rectal swabs of birth-giving mothers with the strains detected in the feces of their infants 10 and 30 days after birth. Lactobacilli inhabiting the mothers’ vaginas did not appear to colonize the infants’ digestive tract, but the authors found evidence of the transmission of fecal isolates of enterobacteria and bifidobacteria from mothers to their infants. Matsumiya et al.[135] performed an interesting study comparing vaginal lactobacilli of pregnant women at the end of pregnancy and their babies’ fecal lactobacilli at the age of 5 days and 1 month. Of 86 pregnant women tested, 71 (83%) were vaginal lactobacillipositive. Five days after birth, 29% of infants had lactobacilli—34% of the babies of lactobacilli-positive mothers and only one of the 15 infants of lactobacilli-negative mothers. After one month, 45% of all children harbored lactobacilli, including 9 children of 15 lactobacilli-negative mothers. Arbitrarily primed (AP) PCR typing revealed that at 5 days after birth only a quarter of infants had similar strains to their mothers and that only 2 of the infants retained the same vaginal lactobacilli until 1 month of age. This study suggests the possible importance of environment or mothers’ skin and breast milk as sources of lactobacilli after birth. 2.

Cesarean Section and Prematurity

Cesarean section thoroughly alters the colonization patterns in newborn infants. Anaerobic colonization is delayed, and there appears an overgrowth by enterobacteria.[210] The rates of colonization by Bacteroides fragilis, Bifidobacterium, and Lactobacillus are signifiCopyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends cantly lower during the first few months of life in infants born by cesarean section than in vaginally born infants.[211] The colonization of newborns delivered by cesarean section occurs during the first days of life, mainly by bacteria provided by the external environment.[212] While Lennox-King et al.[213] found nurses’ hands and contaminated air to be the most common sources for E. coli colonization, Bezirtzoglou and Romond[214] doubt the role of hospital environment and feeding type in Enterobacteriaceae colonization. Torres-Alipi et al.[215] found no correlation between the microorganisms isolated from the amniotic fluid and the neonate’s oral cavity after a cesarean section. In premature infants, the acquisition of oral bacteria (mainly CONS and non– E. coli gram-negative bacteria) increased from day 1 to day 10 of life, regardless of gestational age and antibacterial therapy.[216] Also in preterm, extremely low-birthweight newborns, the mode of delivery did not affect fecal microflora at day 10 of life.[205] In the case of neonates obtained by vaginal delivery, there was, however, a correlation between the microorganisms of the oral cavity and the maternal vaginal flora. This points to the crucial role of maternal vaginal flora in early contamination of preterm newborns with microbes.

B.

Successive Colonization of Infants by Microbes During the First Years of Life

1.

Intestinal Tract

To our knowledge no studies have followed the successive colonization of gastric or small intestinal microflora during infancy. All available investigations concern the fecal microflora development, mostly comparing its development in breast-fed infants to that in babies fed with various formulas.[181,190,197,198,217 – 219] The frequency of occurrence of lactic acid bacteria in the first months of life is variable according to the data provided by different authors (15 –100%) and is higher with formula feeding.[220 – 222] These data contradict an earlier suggestion that in breast-fed infants bifidobacteria predominate from the end of the first week of life.[181,223 – 225] Alternatively, the investigations of Simhon et al.[226] and Gothefors[227] showed no difference between fecal microflora of breast- and formula-fed English infants, as in both groups Bacteroides were the predominant microorganisms. At the same time, in Nigerian children bifidobacteria were observed to predominate in fecal flora.[226] Similar findings were reported by Adlerberth et al.[42] Favier et al.[198] demonstrated, on the basis of molecular methods, that though newborns were colonized with E. coli, Enterobacter asburiae, Veillonella dispar, and clostridia on the first day of life, after a few days on a breast milk diet there was subsequent colonization with bifidobacteria. Satokari et al.[206] also demonstrated using molecular methods that the distribution of Bifidobacterium and Lactobacillus species was similar in breast- and formula-fed infants. The most frequently found representatives of these genera were B. infantis and species belonging to the L. acidophilus group in both groups of infants. Undoubtedly, the composition of infant formula has been improved over the last 10 years, which could have led to a more breast-fed –like colonization pattern in formulafed infants. Investigators of microbial metabolism have also proven the protracted step-by-step formation of the GI microflora of neonates and infants. The microbial short-chain fatty acid (SCFA) composition in the feces of neonates is described as quite specific with a high concentration of acetic acid, connected with aerobic metabolism. As neonates grow older, the composition changes, becomes more complex, and displays wide interin-

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Hoang-Dung TRAN and friends dividual variations.[228,229] The mucin-degrading capacity is one of the microflora-associated characteristics (MAC) of the host, which serves as a good indicator for the study of microbial ecology of the intestine.[150,230] Norin et al.[231] followed the mucin-degradation process from birth and found that mucin breakdown starts only at the second year of life. It was shown that in children exclusively breast-fed for at least 4 months, mucin degradation was initiated significantly later than in children who received formula. A positive correlation between increasing age and increased degradation of mucin was found between birth and 1 month and between 6 and 9 months.[229] Thus, the metabolite studies also confirm that the process of microflora formation of infants is individually different. We studied the predominant (.10% of the total count in CFU/g) populations of fecal microorganisms from 18 infants at different times over a year.[232] Wide interindividual variations were observed, just as in the biochemical studies of fecal SCFA of the same infants.[153] In several infants we detected the same predominant groups of microbes during the investigation period. Yet lactobacilli were never among the predominant fecal microflora of the infants investigated by us.[233]

2.

Geographical Differences in Neonates/Infants Microflora

In a prospective study of neonates in Pakistan and Sweden, it was found that the Pakistani infants were colonized significantly earlier and with more species of enterobacteria than the Swedish babies.[42] This was independent of the mode (vaginal, cesarean section), place (at home, at hospital) of delivery, or diet. In countries with different levels of industrialization, some diverse trends in the numbers of lactobacilli in children have been reported. Early and intense colonization of the intestinal tract by streptococci from the lactic acid bacteria group has been found among Guatemalan Indians,[223] with a higher prevalence of lactobacilli in Ethiopian children as compared to Swedish.[41] Similarly, we have found remarkable differences in the establishment of lactic acid microflora between Estonian and Swedish children. The differences in colonization by lactic acid microflora could be divided into two phases: neonatal and 12 months. First, at one-week of age substantially higher counts of enterococci and bifidobacteria were found in the feces of Estonian babies than in their Swedish counterparts (Table 3). In Estonian newborns the counts of coagulase-negative staphylococci and enterobacteria were also higher than in Swedish one-week-old newborns. Moreover, a higher colonization rate with lactobacilli was shown in Estonians at one month of age.[38] In the first phase of establishment of microflora, the indices of LAB of Estonian neonates resemble those of Guatemalan Indians and Ethiopian children.[41,223] It is likely that the reason may lie in the degree of bacterial exposure during the neonatal period. Lundequist et al.[220] indicate an ecological imbalance of women’s vaginal microflora in developed countries and the excessively high hygiene at delivery, which eliminates the normal microflora otherwise acquired from the mother. Adlerberth et al.[42] have suggested that the hygiene conditions at birth and the early breastfeeding are likely to influence the intensity of intestinal colonization in developing versus industrialized countries. However, obstetric practice does not differ between Estonia and Sweden, indicating other confounding factors. Second, in cross-sectional and prospective studies of healthy infants[37,38,44,234] BR37 at the age of 1 – 2 years a trend towards higher prevalence (Fig. 5) and variety of species of Lactobacillus was detected in Estonian as compared to Swedish infants (Fig. 6). The main variable in the different succession of microbes seems to be diet. We studied during the weaning period the intestinal microflora of children: the counts of

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Table 3

First Aerobic Fecal Bacteria in 1-Week-Old Estonian and Swedish Newborns Estonian (n ¼ 17)

Swedish (n ¼ 20)

log CFU/g Aerobes CONS S. aureus Enterococci

11.7 10.6 9.1 11.0

p-value 10.3 8.3 6.3 9.8

0.01 0.003 0.006 0.0002

Figure 5

Prevalence (%) of lactobacilli among Estonian and Swedish children.

Figure 6

Diversity of Lactobacillus spp. in 1- to 2-year-old Estonian and Swedish children.

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Hoang-Dung TRAN and friends lactobacilli and eubacteria were higher in Estonian children, and at the same time the counts of clostridia were higher in Swedish 1-year-old children.[37] Yet, the investigated Estonian and Swedish babies did not differ in the frequency or duration of breastfeeding. When a child starts to eat solid food (mostly from the fifth to sixth month), high numbers of bacteroides, anaerobic cocci, and clostridia are detected in the feces.[235] If breastfeeding is totally stopped, the infants’ intestinal microflora succession is broken.[180] In our study of 2-year-old children, the ratio of intestinal anaerobes to aerobes was quite similar to that in adults.[108] According to Lidbeck and Nord,[96] up to the age of 4 – 8 years, a child’s fecal flora resembles that of an adult. However, regional differences may be present. In a comparison of Estonian and Swedish 2-year-old children, the counts of anaerobes, such as bacteroides, bifidobacteria, and clostridia, were higher in Swedish children.[236] According to our studies the intestinal microflora of Swedish children is similar to adults in western industrialized countries, where the count of anaerobes is high and the count of microaerobic bacteria low.[41,166] The establishment of the more complex mixture of Lactobacillus spp. in Estonians than in their Swedish counterparts resembles the data concerning enterobacteria. Once colonized, the Swedish infants often carried a single E. coli strain in their microflora for long periods, while Pakistani infants were colonized with a multitude of different E. coli strains.[194] In addition to poor hygiene providing the greatest source of bacteria, the genetically determined receptors of cells/mucins may be involved. The increased consumption of locally produced foods and various lactic acid fermentation products starting from the second half of the first year may be an alternative reason for higher prevalence of lactobacilli in 12-month-old infants from Estonia. It is possible that the richer load of lactic acid microflora, both in terms of number and species, in Estonian newborns may have greater importance for the welfare of the child. The wider set of cellular and metabolic antigens of lactobacilli seems to provide protection for the child against harmful substances.

C.

Factors Contributing to the Development of Individual Lactoflora

1.

Negatively Interfering Factors

Different factors have been shown to influence the development of normal microflora, and one of the factors negatively influencing lactoflora without doubt is antimicrobial treatment. The fact that newborns receiving parenteral gentamicin and ampicillin treatment experience suppression of aerobic and anaerobic fecal flora has been confirmed by Bennet et al.[237] In premature infants treated in intensive care units, the primary colonization of the digestive tract was found to differ from that of infants in puerperal wards,[238] and many frequently used antibiotics have been found to significantly alter the fecal flora, including lactobacilli, of 1- to 3-month-old infants.[239] Alteration of physicochemical surface properties by even sub-inhibitory concentrations of antibiotics may lead to a disruption of the indigenous microflora and creation of a more pathogenic biofilm.[240] Ahtonen[183] succeeded in showing that ampicillin administered intra partum to the mother was shown to delay the newborn’s gastrointestinal colonization by Lactobacillus species. By using antimicrobial agents that do not disturb colonization resistance, the risk of emergence and spread of resistant strains between patients and dissemination of resistant determinants between microorganisms is reduced.[241] We have studied the antimicrobial susceptibility pattern of lactobacilli in pregnant women. In some situations, such as urinary or genital tract infections, a pregnant

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Hoang-Dung TRAN and friends woman must be treated with antimicrobial drugs, although it is advantageous to avoid the use of antibiotics highly active against lactobacilli. Our results[105] correspond to data from other studies[133,242,243] showing that vaginal lactobacilli are not uniform as to their susceptibility to antibiotics and that it is difficult to predict their sensitivity pattern.[244] Quite similar data were obtained from studying the antibacterial susceptibility of intestinal lactobacilli in 1- to 2-year-old Swedish and Estonian children.[245] Sixty isolates (10 species) of lactobacilli (29 Estonian and 31 Swedish strains) and 5 collection strains were tested against 9 antibiotics in microaerobic conditions (Table 4). All of the tested lactobacilli were susceptible to ampicillin, gentamicin, and erythromycin and resistant to metronidazole. Single strains were resistant to cefuroxime and tetracycline, about half of the strains to cefoxitin and ciprofloxacin, and three quarters of the strains to vancomycin. We noted that all cefuroxime-resistant strains appeared to be L. brevis, but cefoxitinresistant strains belonged to a different species. All vancomycin-susceptible strains belonged to the OHOL. Susceptibility of the collection strains did not differ from that of the strains under investigation. Susceptibility for the Estonian and Swedish strains was not significantly different ( p . 0.05). Different investigators have found some strains of lactobacilli to be resistant to vancomycin,[243,246 – 249] which was also revealed by our studies. This property seems to be species-related. Simoes et al.[250] have found that high concentrations of metronidazole (.5000 mg/mL) suppressed the growth of lactobacilli, but concentrations between 128 and 256 mg/mL stimulated their growth. According to our data, ciprofloxacin, metronidazole, cefoxitin, vancomycin seem to be more suitable for preservation of normal lactoflora than the other regularly used antibiotics. However, this list may be somewhat investigator-dependent, since according to Testore et al.[243] the most appropriate antibiotics are aztreonam, cefixime, kanamycin, pefloxacin, and fusidic acid. Concerning the choice of antibacterial drugs for pregnant women in the case of urinary tract infections, the usual ampicillin and cefotaxime treatment does not seem to be appropriate, as it unavoidably damages the vaginal lactobacilli; treatment with aztreonam and/or quinolones seems to be safer for vaginal lactoflora.

2.

Microbial Survival in the Host

Colonization of the biotope by particular strains of lactobacilli requires some important microorganism characteristics: (a) ability to survive in the secretions of the host, (b) resistance against antagonistic activity of other microorganisms of microbiocenosis and ability to repress their growth to some extent, (c) colonization of the mucus layer of the mucosa by degradation of the endogenous nutrients of the host to achieving stable population levels, and (d) adherence to host structures such as epithelial cells in crypts.[62,193,251] All of these properties may simultaneously influence the formation of individually specific lactoflora, which makes investigation into the microbial ecosystem of different organs a highly complicated task. We have found no studies on the bacteriostatic or bactericidal influence of host secretions of a particular biotope on lactobacilli isolated from the same biotope. There may be some specific characteristics of both variables (secretion and microbes) that determine the survival of a specific strain. The survival of mainly commercial lactobacilli in the human stomach and in transition through the intestine has been investigated both in vivo

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Hoang-Dung TRAN and friends

Susceptibility of Lactobacilli According to Fermentation Type and Species Susceptible strains (%)

Antibiotica

Fermentation type

Investigated strains (n ¼ 60)

Collection strains (n ¼ 5)

Cefuroxime

OHOL FHEL

100 96

100 100

OHEL

79

100

OHOL FHEL

61 0

100 0

OHEL

21

100

OHOL FHEL

17 70

0 100

OHEL

26

0

OHOL FHEL

93 83

100 100

OHEL

63

50

OHOL FHEL

89 0

100 0

OHEL

0

0

Cefoxitin

Ciprofloxacin

Tetracycline

Vancomycin

Species

Rb (%)

I (%)

S (%)

L. acidophilus (n ¼ 15) L. paracasei ssp. paracasei (n ¼ 16) L. plantarum (n ¼ 7) L. brevis (n ¼ 7) L. buchneri (n ¼ 6) L. acidophilus L. paracasei ssp. paracasei L. plantarum L. brevis L. buchneri L. acidophilus L. paracasei ssp. paracasei L. plantarum L. brevis L. buchneri L. acidophilus L. paracasei ssp. paracasei L. plantarum L. brevis L. buchneri L. acidophilus L. paracasei ssp. paracasei L. plantarum L. brevis L. buchneri

0 0 0 43 0 27 100 100 57 0 87 0 71 71 17 0 0 29 14 17 7 100 100 100 100

0 6 0 14 0 20 0 0 29 50 0 6 14 29 33 7 0 29 57 17 0 0 0 0 0

100 94 100 43 100 53 0 0 14 50 13 94 14 0 50 93 100 43 29 67 93 0 0 0 0

None of the tested lactobacilli was resistant to ampicillin, gentamicin and erythromycin; all strains were resistant to metronidazole. R, resistant; I, intermediate; S, susceptible.

b

473

a

Susceptibility of 5 more frequently isolated species of lactobacilli

Lactoflora and Host Well-Being

Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

Table 4

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Hoang-Dung TRAN and friends and in vitro.[70,252 – 255] The extreme condition (acidity) of the stomach predicted to select for the biotope-specific Lactobacillus strains has not been completely validated. The role of the environment of the small and large intestines in influencing the colonization by lactobacilli was recently reviewed by Johansson[65] and Salminen et al.[72] One host secretion that can influence the composition of microflora is lysozyme.[99] Practically all of the lactobacilli isolated from the normal microflora of humans are resistant to high concentrations of lysozyme (50 mg/mL), yet the strains of lactobacilli detected in the environment are susceptible (15 mg/mL) to lysozyme. Strains of L. fermentum isolated from the intestinal tract are resistant to high concentrations of lysozyme, and at the same time they themselves produce lysozyme.[256] However, variable susceptibility was observed among strains of L. acidophilus.[257] Consequently, the different susceptibility or resistance to lysozyme may be one of the factors determining the individuality of the lactoflora.

Interactions Between Microbial Groups of Microbiocenosis. There exist specific interactions between various groups of microorganisms performing particular microbiocenosis. Species composition and the number of microorganisms is mostly influenced by bacterial physicochemical activities. In recent years several studies have been performed or data summarized on the role of primary metabolites and anti-microbial substances synthesized by lactobacilli and their antagonistic activity in microbiocenosis.[58,93,258,259] In a continuous culture model of fecal microflora, it was shown by Bernhardt et al.[260] that the relative proportion of lactobacilli in the total count of microorganisms was not influenced by admitting into the system biologically active strains of other lactobacilli. Thus, even the isolated colonic content appears to be a well-balanced selfregulating system.[261 – 263] Many of the metabolites produced by lactobacilli have broad antimicrobial activity against other species[264] in contrast to which bacteriocins inhibit only closely related species of other gram-positive bacteria.[265] Lactobacilli are thought to be highly competitive due to their production of several metabolites including organic acids, H2O2, CO2, diacetyl, acetaldehyde, reuterin, and bacteriocins. A low molecular weight antimicrobial substance of lactobacilli is described in the fecal strain of L. rhamnosus GG.[266] It produces a substance having a potent inhibitory effect on a wide range of bacterial species. A very valuable property of the aforementioned substance is that it is not inhibitory against other lactobacilli of the microbiocenosis. The inhibitory activity of lactobacilli against commensals or pathogens of either gram-positive or gram-negative origin seems to be very variable and strain-specific regarding both pathogens and lactobacilli.[9] We have found that the antimicrobial activity of lactobacilli in vitro using well-standardized methods depends upon their fermentation abilities and the growth conditions, e.g., microaerobic or anaerobic environment.[267] Both heterofermentative lactobacilli have high antimicrobial activity against various target bacteria, whereas the antagonistic effect for the OHOL group was low. Gram-negative bacteria such as Escherichia coli, Shigella sonnei, and Salmonella Typhimurium were more completely suppressed than the gram-positive Staphylococcus aureus, Enterococcus faecalis, and other lactobacilli (Fig. 7). There was no strain-specific antagonism found for target bacteria when comparing urinary tract infection –causing E. coli isolates with intestinal isolates from healthy children.[267] Several investigators have isolated highly antagonistic lactobacilli and associated this activity with a decrease in pH.[268] It has been proposed that low external pH

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Hoang-Dung TRAN and friends

Figure 7

Antagonistic activity of lactobacilli against (a) Shigella sonnei and (b) Enterococcus facealis on modified MRS agar.

causes acidification of the cell cytoplasm, whereas the undissociated acid, being lipophilic, can diffuse passively across the membrane.[269] The undissociated acid subsequently acts by collapsing the electrochemical proton gradient over the membrane or by altering the cell membrane permeability, which results in disruption of the

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Hoang-Dung TRAN and friends substrate transportation systems.[268,270] We found a close correlation between the decrease of pH and antagonistic activity and connected it directly with the production of lactic and acetic acid.[267]

Interactions Between Different GI Microbiocenosis. A high antibacterial activity determined in vitro does not always predict the behavior of a particular strain in the GI microbial ecosystem. Data show that the particular lactoflora of the biotope is created by the interaction of properties of lactobacilli and the ecological niche.[51,62] It has yet to be determined whether the metabolites and bacterocins of lactobacilli are valid in the particular biotope. For example, we have found that representatives of the OHEL group are more active in a microacrobic than an anaerobic environment.[267] Axelsson[271] showed that several strains of L. brevis ferment glucose poorly when grown in an anaerobic environment, which may be associated with the low production of antimicrobial metabolites. In contrast, L. reuteri, also from the OHEL group, has been found active in an anaerobic environment, which is an important condition for the production of reuterin.[272] The main variables of the biotope that influence the microbial population level seem to be gas concentration and composition (oxygen, carbon dioxide, methane, hydrogen), pH and Eh (reduction-oxidation potential), and mucosal secretions, such as lysozyme, hormones, immunoglobulins, as well as dietary fiber, urea, and nonmetabolizable sugars.[99,273] In the colon, a zone of physiological stasis, the number of microorganisms is high (1010 –1012). The predominant flora is strictly anaerobic (Bacteroides, Eubacterium, Fusobacterium, and bifidobacteria) and the subdominant flora mostly facultatively anaerobic (Enterobacteriaceae, Staphylococcus spp., Enterococcus spp., Streptococcus spp., Lactobacillus spp.). According to Rambaud,[274] the balance between species of microorganisms in the colonic ecosystem and its stability results primarily from microbial interactions. The administration of Lactobacillus GG (1010 – 1011 CFU/g) as a supplement to breast-fed infants during their first 2 weeks of life did not change the relationships between different groups of intestinal bacteria. Although the counts of lactobacilli increased during the administration of Lactobacillus GG in comparison with control group neonates, the same could be shown for other intestinal microorganisms, thus keeping their proportion stable.[275] Our finding was confirmed by another, similar study showing the stability of fecal SCFA composition during feeding of premature infants with Lactobacillus GG.[276] It is thought that in different habitats lactobacilli mainly exclude pathogens or potentially pathogenic microorganisms either by occupying the receptors of epithelial cells or by exhausting the nutrients.[277] The colonization of the biotope is mostly influenced by the adhesion phenomenon and, in the case of pathogens, by invasion. Conway[111] suggested competitive colonization, which includes inhibition of growth and colonization. Both aspects seem to be important for the genesis of individually specific lactoflora. The influences of various factors of host and microbial origin participating in the formation of the individual GI microbial ecosystem are interconnected. That creates great methodological limitations for research. However, understanding these different driving forces is important for the selection of suitable probiotic candidates. Attachment (adherence, adhesion) to solid substrates is a property characteristic of many pathogenic and indigenous microorganisms.[278] By adherence, microorganisms can avoid being swept away by body fluids and may start the invasive process.[279] The presence of lactobacilli in the intestinal, urinary, and genital tracts has been shown to prevent

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Hoang-Dung TRAN and friends infection of these systems with specific pathogenic bacteria through a number of mechanisms. Namely, competitive inhibition for bacterial adhesion sites is one of the possible mechanisms of action for lactobacilli against pathogens.[280] The data according to which the less active of two strains with different metabolic activities has to adhere, sometimes evenly, just to the surface of the continuous culture system.[57] seem very relevant. It has also been shown that adherent strains of lactobacilli are likely to survive passage through the GI tract and thus have greater metabolic effects.[281] Enteric pathogens such as Helicobacter pylori and diarrheogenic E. coli possess hemagglutinins/lectins on their cell surface, which have specificities for various carbohydrates including sialic acid, galactose, and mannose. We have characterized the cell surface carbohydrates of lactobacilli that could potentially act as receptors for bacterial lectins expressed by pathogens. In our study we confirmed that receptors for Gal or GalNAc are present and available for binding on the surface of L. fermentum, L. paracasei ssp. paracasei, and L. buchneri. Furthermore, cell-surface proteins may also obscure carbohydrate receptors differentially expressed by the strains such as Man, GlcNAc, and sialic acid.[282] The latter receptors of lactobacilli may augment the antimicrobial capacity of these strains through co-aggregation with selected pathogens in both the gut and the urogenital tract. Due to the presence of specified receptors, the strain L. fermentum ME-3 (DSM 14241) possesses the potential for prevention of urinary tract infections (UTI). Its resistance to fluorokinolones makes it possible to apply this probiotic during treatment of ongoing infection for prevention of recurrent UTI.[283] In some animal experiments, we have seen that highly antagonistic lactobacilli still could not eliminate the pathogens from the biotope. Thus, in rats mono-associated with Bacillus subtilis, the Lactobacillus strains with a high bactericidal effect on this bacterium could not exclude the B. subtilis from the mucosal micro flora of the ileum.[246] The L. fermentum strain ME-3 did not provide resistance against a highly virulent invasive Salmonella Typhimurium strain, though it successfully inhibited its growth in vitro.[49] These data indicate that in the formation of a particular microbiocenosis, the decisive role is played both by particular virulence mechanisms of the pathogen or opportunistic pathogen, e.g., rapid evasion of antagonistic actions of lactobacilli by intracellular invasion, and by the ecological niche and its confounding factors. The idea of either suppressing specific adhesion of putatively pathogenic microorganisms by naturally indigestible carbohydrates or stimulating the growth of lactobacilli by the same substrates has become an object of intensive investigation.[22,69,281,284 – 286] A new trend, ecoimmunonutrition, is based on the administration of special diet/formula substances together with bacterial supplementation (the formula based on in vitro fermentation of oats and containing large quantities of live Lactobacillus plantarum 299). In severely ill patients this new generation of nutrition was shown to induce recovery without antibiotics.[287 – 289]

Interactions of Microbial Communities in Reproductive Tract. The major factor controlling the microbial types and population levels in the vagina is generally believed to be the hormonal status of woman contributing to the acid environment of the vagina (pH 4 – 5). This favors the survival and growth of acidophilic microorganisms, mainly lactobacilli.[127] The influence of hormones on the number and species of lactobacilli has been successfully followed in vaginal microflora studies. A high estrogen level of the fetus generates predominance of lactobacilli in the vagina. The converse is also true—a

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Hoang-Dung TRAN and friends decrease of estrogen in postmenopausal women causes the disappearance of lactobacilli from their genital tract.[290,291] Estrogen therapy can restore the earlier situation.[123,292] The importance of hormones for colonization by lactobacilli is vividly proved by data demonstrating that progesterone and estradiol were able in vitro to intervene in the adhesion process of different lactobacilli.[293] The study of Miller et al.[294] has shown that hypoestrogenic state is associated with decreased H2O2-positive Lactobacillus colonization and slight thinning of the vaginal epithelial layer, these changes possibly compromise the vaginal barrier to infection. Studies have confirmed that the receptor activity of vaginal cells and the total count of vaginal lactobacilli, dependent on the menstrual cycle, seems to be important.[295] Whether or not these processes are connected with the individuality of the lactoflora is not yet clear. However, the source of the typically low pH of the human vagina is a matter that has not been finally resolved. The question remains whether the low pH is the cause or effect of vaginal Lactobacillus colonization or vice versa.[177] Vaginal microflora is certainly also influenced by the composition of vaginal secretions, which include contribution from vulvar secretions, Bartholin’s and Skene’s glands, transudates from the vaginal wall, exfoliated cells, cervical mucus, and endometrial and oviductal fluids. The following substances are commonly present: NaCl, potassium, sulfates, vitamins, metal ions, mucins, proteins, peroxidases, immunoglobulins, enzymes (glucosidase, amylase, antitrypsin), complex carbohydrates, lipids, and fatty acids. Other factors of apparent importance include redox potential, presence of H2O2, CO2, and blood, inflammatory response, anatomical ultrastructural changes, as well as many other factors.[123,127,177,296] Since the vagina is an open microbiotope, some exogenous factors surely influence the vaginal microecosystem: contraceptive devices, sanitary methods, surgery in the genital tract, antimicrobial or immunosuppressive treatment, extragenital diseases, coitus, blood group, and others.[297,298]

Host Genetic Influences. There is the possibility that certain genes of the host are involved in determination of the particularly different characteristics of microbiocenosis. There are data suggesting that the individuals differ in harboring special genes controlling their resistance toward pathogenic microorganisms.[299] It has been shown that the mother’s genotype is an important factor in determining the fetal outcome of murine cytomegalovirus infection.[300] Also, some strains of mice can be classified as resistant or susceptible to mycobacterial growth. A gene has been identified that controls this resistance in mice mapping to a gene on chromosome 1. The group of genes on human chromosome 2q form a similar group to those of mice.[301] However, we have not found any similar data concerning the indigenous microflora. Van der Merwe et al.[302] has shown that in cases of Crohn’s disease, the quantitative composition of normal fecal microflora is genetically determined. Dutch scientists have also shown that the pattern of antibodies directed to fecal bacteria of different morphotypes were unique for each individual, confirming the genetic influences of the host on their indigenous microflora.[303] Ethnic differences have also been shown to determine different microflora in the genital tract. In the vagina of women from different ethnic groups (Caucasian, African), Kohlmeyer et al.[304] found different prevalent species, e.g., L. acidophilus (white 55%, black 42%), L. brevis (0%, 26%), L. casei (13%, 6%), L. delbrueckii (3%, 1%), L. fermentum (17%, 16%), L. plantarum (0%, 1%), and L. jensenii (12%, 8%). All these data

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Lactoflora and Host Well-Being

479

Hoang-Dung TRAN and friends indicate genetic differences of receptors on epithelial cells according to which microbes select their host. We have observed that the quantitative composition of fecal microflora of adult monozygotic twins has the same degree of similarity as have the paired samples of a single young healthy person.[6] Monozygotic twins reveal the identity of many genetic markers that are important for the selective colonization of the indigenous microflora.[305] Therefore, both the antigenic structure of somatic cells and secretions of microorganisms as well as the immune reaction are determined by the genotype.[306] In these pairs of twins we have also found a high correlation ( p , 0.001) of the biochemical activity of microflora. That the composition of microflora depends on host genetics was also proved by molecular methods comparing the intestinal microflora of genetically identical monzygotic twins.[139] The species composition of monozygotic twins’ lactoflora was individually different. Yet in 6 of 10 pairs of monozygotic twins, we succeeded in isolating strains with similar biochemical activity of L. acidophilus, L. casei ssp. casei II, and L. brevis I. From two pairs we even isolated two similar strains of lactobacilli: combinations of L. acidophilus II with L. brevis I and L. plantarum II with L. brevis II.[112,307] Thus, in the GI tract of adult monozygotic twins, identical strains of lactobacilli could persist. This is probably due to the identical specificity of the host receptors for bacterial adhesins. Consequently, the finding of similar microflora and its biochemical activity in one monozygotic twin proves the genetic influence on the individual microflora. However, we also isolated Lactobacillus strains with identical properties from the GI microflora of piglets of litters of three sows.[307] From the piglets of one litter, five to seven species and biotypes of lactobacilli were isolated. In piglets of two litters we managed to spot identical strains at age 1– 5 days and 60 –120 days. These strains colonized the epithelium of the stomach and jejunum. These experiments prove both the primary importance of first colonization and that of genetic markers on the formation of individual lactoflora. The specificity of lactoflora of the various parts of the intestine is not explained solely by receptor-adhesin interactions, but also by the presence of suitable endogenous nutrients. In germ-free mice we have observed the same tendency: despite the use of the particular L. fermentum and E. coli strains originating from the intestine of Balb-c mice, their quantitative relations in various biotopes of the gastrointestinal tract were individually different (unpublished data). So even pheno- and genotypically identical strains develop an individually different structure of microbiocenosis, depending, it seems, on the host’s biotope characteristics. At the same time, the individually specific mucin composition is obviously why the different microbiocenoses of particular individuals integrate into one complete microbial system.

IV.

IMPACT OF GI MICROBIAL ECOSYSTEM ON HOST

A.

Pathogenic Potential of Lactobacillus Species

The long history of safe use of many different species of Lactobacillus has given them generally-recognized-as-safe (GRAS) status.[308] However, the discovery of lactobacilli in unusual biotopes creates some controversy. Lactobacilli are regarded as harmless microorganisms, but some authors connect their presence in the bloodstream with bacteremia and endocarditis.[309 – 311] In the majority of cases there is accompanying preexisting

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Hoang-Dung TRAN and friends heart valve damage or strong immune deficiency. We have found Lactobacillus bacteremia immediately after extraction of tooth roots in chronic periodontitis and consider it transitory, caused by the translocation of microbes after the disruption of the mucosal barrier of the mouth.[312] The simple fact of isolating lactobacilli from an empyema of the gallbladder,[313] from amniotic fluid,[314] or from a pelvic abscess[375] cannot prove their pathogenicity because some other poorly recognizable agents may have been overlooked. In two large surveys, lactobacilli represented less than 0.2% of all isolates found in blood cultures.[315,316] Subsequent investigation indicated that the increased use of the probiotic Lactobacillus GG has not led to an increase in Lactobacillus rhamnosus bacteremia in Finland.[317] The resistance to host innate defense systems, i.e., phagocytosis, is not similar in all species of lactobacilli, as shown by experimental animal studies.[318] This suggests new approaches, particularly assessment of macrophage bactericidal activity against different Lactobacillus strains and use of different experimental infection models to conclude the safety of a particular probiotic strain. The main species of Lactobacillus with some pathogenic potential are considered L. plantarum [319] and L. casei.[313] L. paracasei was continuously isolated from peritoneal fluid obtained at ambulatory peritoneal dialysis of an immunocompromised person with recurrent peritonitis.[320] The experiments of Tu¨ri et al.[321] showed proliferative tissue reaction, surrounded by macrophages, lymphocytes, and proliferating fibroblasts, to the inoculation of L. casei into the testes of guinea pigs. The same type of proliferative reaction was seen when L. fermentum were inoculated into guinea pig testes together or before E. coli. However, E. coli caused multifocal necrosis of germinative tubules, surrounded by multiple of neutrophiles and eosinophiles if injected as pure culture.[322] Though L. fermentum did not reduce the local inflammation towards E. coli, it changed the type of inflammation and speeded up the clearance of E. coli from blood and tissue. Thus, Lactobacillus spp. can cause inflammatory changes of proliferative type after translocation into extraintestinal sites and stimulate the systemic clearance of pathogens, putatively through some immunological mediators. Showing that L. plantarum (strain 299v) had no role in endocarditis animal model, the safety of this probiotic strain was assessed.[323] However, for safety reasons every new probiotic strain of Lactobacillus should be controlled in different animal experiments. Dental caries is a widespread disease related to lactobacilli. The complexity of the bacterial community in dental plaque of humans has made it difficult to determine the single bacterial agent of caries, but there is considerable evidence that mutans streptococci are involved in the initiation and lactobacilli in the progression of caries. They are able to rapidly metabolize carbohydrates into acid and to tolerate a low-pH environment.[100] The demineralization of teeth is caused by organic acid produced from the bacterial fermentation of dietary carbohydrates. Lactobacilli are not homogeneous in terms of their cariogenic potential, as certain species, such as L. casei, L. fermentum and L. rhamnosus,[116] have been more frequently associated with caries lesions. Some lactobacilli strains have been found to be antagonistic against mutans streptococci, and they may even reduce the caries risk.[324] Ahumada et al.[325] have shown that lactobacilli from caries-active subjects showed greater potential to adhere and lower production of inhibitory substances, while lactobacilli from caries-free subjects were able to inhibit potentially pathogenic microorganisms. Therefore, the presence of lactobacilli in saliva may not be directly related to caries risk if their species composition and properties are unknown.

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Hoang-Dung TRAN and friends Though oral lactobacilli have been associated with dental caries, their role in periodontal diseases has been poorly described. In our recent study, half of chronic periodontal disease (CPD) patients but 70% of healthy persons harbored high counts or very high counts of lactobacilli in saliva.[119] The isolated 106 strains belonged to 9 species (Fig. 8). The species range was significantly wider in healthy persons than in diseased ones (median 2.7, range 1– 5 vs. median 1.9, range 1 – 3, respectively). The OHOL strains were more frequent in healthy subjects (70 vs. 17%; p ¼ 0.017), with L. gasseri being the most prevalent (60 vs. 8%, p ¼ 0.015). This figure shows the reduced distribution of lactobacilli in periodontal disease, indicating a protective role for indigenous salivary lactobacilli.

B.

Health-Promoting Influences of GI Lactoflora on Host

1.

Prevention of Infections

The lactoflora has been shown to play an important role in the health of humans.[21] Mainly, the lactoflora is involved in the prevention of various GI infections by forming a colonization barrier[185] against the establishment of microbes with pathogenic potential.[4,326,327] In several clinical trials the concept of microbial interference therapy (MIT) has been successfully applied. The affects include either maintenance of health or restoration of diseased functions of host by introducing living microbes known as probiotics and having some therapeutic potential. Lactic acid bacteria (Lactobacillus, Enterococcus, Bifidobacterium, Streptococcus spp.) and some yeasts (Saccharomyces boulardii) are used in probiotic preparations either singly or in combination. MIT has been applied in many infectious diseases, including travelers’ diarrhea, antibiotic-associated colitis, Clostridium difficile–related infections, rotavirus enteritis, urinary tract infections, vaginosis, among others (reviewed by Refs.[57,328,329]). The clinical usefulness of Lactobacillus GG as adjunct therapy for shigellosis in children has been shown.[330] One of the intestinal infections for which treatment by lactobacilli has been widely studied is antibiotic-associated diarrhea (AAD). Clostridium difficile is the main agent of AAD causing colitis and diarrhea in patients extensively treated

Figure 8 

Prevalence of salivary lactobacilli in chronic periodontitis and healthy patients,

p ¼ 0.015.

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Hoang-Dung TRAN and friends with the antibiotics.[21] Usually the reduction of indigenous anaerobes has been associated with development of AAD.[331,332] In our laboratory it has been shown that the amount of intestinal lactobacilli also seems important in the prevention of C. difficile colonization.[333,334] Recently we showed that certain C. difficile strains with high vs. low toxigenicity were differentially inhibited by particular Lactobacillus strains of L. plantarum and L. paracasei.[335] It can be speculated that low-virulence strains of C. difficile may successfully coexist with some species/strains of lactobacilli in the intestinal tract of some people. However, the highly virulent strains of C. difficile could be outcompeted by more effective Lactobacillus spp. strains. The AAD seemingly develops if a person does not harbor the highly antagonistic lactobacilli. The efficacy of probiotic therapy varies largely in different clinical trials. For instance, a well-designed study[336] described a significant decrease in AAD by Lactobacillus GG in children, yet similar results were not obtained in adult patients.[332] Reviewing 46 double-blind, randomized, prospective clinical studies with probiotics, a successful clinical outcome was found in only 56% of trials.[337] Besides probiotic efficacy, the proper dose and viability of bacteria and the individually different microbial ecosystems may be one of the main reasons for MIT failure.

2.

Role in Noninfectious Chronic Diseases

It has not been determined in clinical studies whether the absence of lactobacilli in fecal samples or their high quantities on the mucosa of the small intestine should be considered an abnormality. Controversial data have been obtained in different clinical situations. Lactobacilli are described as sensitive to emotional stress before and during space flights, their number becoming reduced.[3,338] However, radiation injuries caused by the Chernobyl atomic power plant accident showed, surprisingly, an increase in the counts of intestinal enterococci and lactobacilli, particularly L. casei and L. plantarum.[339] A similar tendency (i.e., high levels of fecal lactobacilli) was seen in infants with rotavirus diarrhea. The denudation of small intestinal mucosa and subsequent release of mucosal lactobacilli seem to account for the increased numbers of fecal lactobacilli in the situations described. Even Lactobacillus GG administration did not increase the total count of lactobacilli.[340] Noninfectious Gastrointestinal Diseases. Interesting results were obtained by studying the Lactobacillus content in patients suffering from some noninfectious GI diseases. Voronina[341] reported that the occurrence of lactobacilli in gastric contents increased in patients with chronic gastritis and gastric cancer, associated with gastric hypoacidity. However, it was found that lactobacilli rarely persist in normal gastric mucosa and also occur rarely in association with H. pylori in the heavily colonized mucosa of the antrum.[342,343] Our latest data confirm that lactobacilli are found very rarely in the biopsy material of the gastric mucosa of H. pylori –negative adults.[103] The composition of bacterial communities growing on epithelium and mucus of the intestinal tract (mucosal flora) is seemingly determined by a variety of host factors, including cellular and humoral immunity, together with antimicrobial peptides as defensins.[344] that do not have such profound influence, on the luminal flora. It is likely that the colonization by transient nonindigenous food-deprived lactobacilli may cause, in cases of gastric anacidity the overgrowth-syndrome like situations in the upper part of the intestine. Our experience[143] is consistent with this: increased quantities of fecal lactobacilli were found in cases of anacidity (Table 5). At the same time, in

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Hoang-Dung TRAN and friends

Table 5

Lactobacilli in the Feces of Patients with Some Noninfectious Gastrointestinal

Diseases

Group of persons I II III IV

V

VI

Young healthy persons, 21– 44 y Old healthy persons, 65– 89 y Chronic gastritis, anacidity, 21– 69 y Carcinoma ventriculi, 50– 74 y Anacidity Hyperacidity Peptic ulcer, 22– 68 y Normacidity Anacidity Hyperacidity Status post– resectionem ventriculi Without complaints, 35– 62 y Anacidity Hyperacidity With complaints (dumping syndrome), 24– 64 y Anacidity

n

Frequency of occurrence (%)

10 13 10

98 100 100

8 6

Number (log CFU/g) Range

Median

Mean

5.5– 8.1 6.0– 8.0 7.0– 9.0

6.6 7.0 8.0

6.7 + 0.9 7.2 + 0.9 8.3 + 0.7a

100 100

7.8– 10.0b 5.7– 8.0

8.8 7.3

8.8 + 0.9a 7.1 + 0.8

3 5 14

100 100 100

6.1– 7.0 7.1– 9.8b 5.0– 8.0b

7.0 7.8 5.8

6.8 + 0.5 7.7 + 1.2 6.6 + 1.1

6 4

100 100

8.7– 10.0b 7.7– 8.7

9.6 8.3

9.5 + 0.6a 8.2 + 0.4

23

100

5.8– 10.6

7.5

7.6 + 0.9

a

p , 0.01 Student’s t-test p , 0.05 Mann-Whitney test. Source: Mikelsaar, 1969. b

hypoacidic patients with a dumping syndrome after gastric surgery, the number of lactobacilli was not increased, seemingly due to the intensive clearance of the intestine. Yet these studies are regrettably limited by the lack of real understanding of the function of lactoflora of a particular biotope. 3.

Antiallergic Effects

Indigenous microflora, including lactobacilli can nonselectively facilitate natural immune responses. Finnish investigators have shown that oral intake of lactobacillar supplements reverses increased intestinal permeability and by this mechanism could stimulate local immune responses.[345,346] Some control of the adverse effects of radiation has been shown by substitution of lactobacilli preparations.[347] These supplements obviously affect the microbial ecosystem of the GI system of a particular host, correcting either the developed imbalance of microflora or modulating the immune responses. This aspect has been applied to the prevention and treatment of allergy since the early 1990s, based mainly on empirical experience with probiotic use. Several clinical trials of probiotic administration have been conducted.[348,349] The majority can be divided in two groups: preventive and treatment trials. Cross-sectional and prospective studies have shown pronounced differences in the establishment of intestinal microbes in allergic as compared to nonallergic

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Hoang-Dung TRAN and friends children.[34,35,43,44] Differences in fecal microflora of patients with atopic dermatitis were also found.[350] Several groups of intestinal microbes have been identified during our intestinal microflora studies. In children later developing allergy, a low prevalence of lactic acid – producing bacteria such as enterococci and bifidobacteria was assessed during the neonatal period. During infancy the low prevalence of bifidobacteria was accompanied by increased colonization by potentially pathogenic bacteria, such as Staphylococcus aureus and clostridia.[44] By the age of 2 years a decreased proportion of Bacteroides was seen in allergic as compared to healthy children.[43] Our recent study confirms the previous findings, showing in 5-year-old allergic children the low prevalence and numbers of bifidobacteria to be accompanied by an increased proportion of clostridia in the gut microflora. We suggest that at different periods of life (neonate, infant, 1- to 5-year-olds) particular intestinal microbes are involved in (a) the induction of immunological tolerance to intestinal contents, (b) allergic sensitization, and (c) the manifestation or downregulation of mast cell reactions to allergens. During these phases of allergy development, correction by probiotics of microflora shifts could help prevent atopic responses and allergic disease. In our prospective study,[44] like that of Finnish researchers,[35] a low prevalence of lactic acid –producing bacteria such as enterococci and bifidobacteria was assessed during the neonatal period in children later developing allergy. During the neonatal period, the high numbers of the first intestinal colonizers may support the development of oral tolerance, understood as the exclusion of some T-cell clones or induction of their hyporesponsiveness towards these gram-positive intestinal microbes, their metabolites, and similar luminal soluble antigens.[351,352] Due to reduced microbial pressure, oral tolerance might not be induced and as a result faulty programming of the mucosal immune system could be related to the later developed allergy. The crucial role of microflora in tolerance induction has been shown by the lack of oral tolerance in germ-free animals. Oral tolerance was achieved when bifidobacteria were inoculated into these mice at the neonatal stage, but not at an older age.[352a] A trial[353,354] in which antenatal probiotic administration to pregnant women succeeded preventing allergic disease could be explained by correction of this phenomenon. However, atopic eczema was not fully prevented by probiotic treatment but simply cut in half in pregnant women/infants given Lactobacillus GG,[35] hinting at several undiscovered mechanisms. The low prevalence of bifidobacteria accompanied by increased colonization with potentially pathogenic bacteria such as S. aureus and clostridia in allergic children can be seen as important factor for allergic sensitization due to the bacterial components and superantigens, which are able to translocate and modulate eukaryotic cell cytokine synthesis and immune response. At the phase of downregulation of allergic sensitization, the relevant operating mechanism for bifidobacterial probiotic administration may be either the competitive exclusion of potentially pathogenic bacteria or modulation of the immune response.[36] Inhibition of the systemic translocation of potentially pathogenic bacteria by probiotic Lactobacillus GG administration[355] may also participate in downregulation of mast cell reactions. In adults, the probiotics can downregulate the manifestation of atopic reactions due to certain properties of probiotic strains. We have demonstrated the downregulation of atopic reactions by administration of the antioxidant L. fermentum ME-3 (DSM 14241) strain to patients with atopic dermatitis.[356,357] However, the effect may depend largely on the

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Lactoflora and Host Well-Being

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Hoang-Dung TRAN and friends species, the type of introduced probiotic strain(s), the cell wall structure, and metabolites excreted.

4.

Antioxidative Effects

An antioxidative effect of lactobacilli has been reported only recently.[48,358 – 360] A wide variety of reactive oxygen and nitrogen species (ROS, RNS) are continuously produced in the human body, playing a substantial role in the pathogenesis of cancer, cardiovascular diseases, allergies, and atherosclerosis.[361] Virtually all biological macromolecules can be damaged by oxidants. Antioxidants are naturally occurring or synthetic substances that either inhibit or retard the oxidation of other molecules, preventing the formation of radicals by synthesis of reducing species, scavenge the reactive species, or promote their decomposition.[362,363] The well-known antioxidants are compounds with phenolic structures (tocopherols, flavonoids, phenolic acids), nitrogen compounds (alkaloids, chlorophyl derivatives, amino acids, and amines) or carotenoids as well as ascorbic acid.[364] Radical scavenging antioxidants have an advantage when compared to preventive antioxidants (suppression of the formation of free radicals) and the repairing antioxidant enzymes. Lactobacillus fermentum strain ME-3 (DSM 14241) possesses substantial antimicrobial and antioxidative activity, expressing manganese superoxide dismutase, eliminating hydroxyl radicals, and containing reduced glutathione, a potent cellular antioxidant.[48] Thus, the antioxidative potential of strain ME-3 is generated by at least two different functions (radical scavenging and a glutathione system). We have demonstrated the downregulation of atopic reactions by administration of the antioxidative L. fermentum ME-3 (DSM 14241) strain to patients with atopic dermatitis. In these patients the increased levels of IgE and allergen complexes bind to mast cells and induce the release of histamine and other inflammatory mediators. Inflammation is closely associated with phagocytosis and oxidative burst and creation of ROS. Oral administration of antioxidative lactobacilli[356] was beneficial at sites of allergic inflammation in alleviating tissue damage caused by host-derived excess of oxidants. Simultaneously, blood antioxidative indices (total antioxidative status and reduced glutathione level) were significantly increased in sera and significant reduction of iron was seen in skin of patients after probiotic therapy.[356] Iron as a potent pro-oxidant released from acute phase iron-storage and transporting proteins (ferritin) and transferrin is involved in the rapid formation of ROS.[365] Free radicals are closely associated with lipid peroxidation. Free radicals such as superoxide anion and hydroxyl radical directly decrease reduced cellular glutathione (GSH) levels and increase the lipid peroxidation in blood sera. Oxidized low-density lipoproteins (ox-LDL) play a crucial role in the pathogenesis of atherosclerosis, being highly atherogenic. This directly damages the endothelial cells, facilitating the conversion of macrophages to foam cells and eventually to fatty streaks.[366] Lin and Chang[359] reported the inhibitory effect of B. bifidum ATCC 15708 and L. acidophilus ATCC 4356 on plasma lipid peroxidation. We showed in a volunteer trial that consumption of goat milk fermented by L. fermentum ME-3 (DSM 14241) prolonged the resistance of lipoprotein fraction to oxidation, lowered levels of peroxidized lipoproteins, oxidized LDL and glutathione-redox ratio, and enhanced total antioxidative activity. It lowered the level of 8-isoprostanes in urine. During 3 weeks of consumption the persistence of L. fermentum strain ME-3 in the intestinal tract was assessed in all volunteers. This caused an interaction between the cells of host and the ME-3 or its metabolites

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Mikelsaar et al.

Hoang-Dung TRAN and friends expressing antiatherogenic response.[50] In an experimental mouse model of Salmonella Typhimurium infection, we were able to balance the antioxidativity of damaged gut mucosa during the oral administration of L. fermentum ME-3.[49] This could explain how strain ME-3 can exert both antioxidative and antiatherogenic effects. Recently we performed another randomized, double-blind, placebo-controlled volunteer trial with ME-3 as an encapsulated food additive. Oral consumption three times daily of 109 viable cells for 10 days resulted in a significant reduction in 8-isoprostane levels in urine.[367] Isoprostanes are known as good indices of body total oxidativestress –based atherogenicity.[368] These promising results indicate that several functions of indigenous microflora are yet to be described. More systematic investigations are necessary to establish the molecular mechanisms of probiotics.

C.

Influence of Genital Tract Lactoflora on Host

A widespread pathological condition closely related to lactobacilli is bacterial vaginosis (BV). Despite numerous studies, its nature remains unclear, and it has been called an “ecologic mystery”.[369] BV is an imbalance of the vaginal microecosystem in which microaerophilic lactobacilli are absent, while there exists a predominance of Gardnerella vaginalis, Mobiluncus spp. Mycoplasma hominis, and some anaerobic microorganisms.[126,177,297] It is not clear which is of primary importance—the appearance of infectious microorganisms or the disappearance of lactobacilli. It has been suggested that some aerobic microorganisms can competitively suppress lactobacilli, enabling further overgrowth of BV-associated microorganisms.[131] Studies have revealed that lactobacilli from patients with BV are unable to cleave glycogen with the production of lactic acid[370] or to produce hydrogen peroxide.[296] Some changes in the host status that lead to decreased availability of immune functions could also trigger the shift in flora.[296] Bleeding, douching, and intercourse may increase vaginal pH and decrease colonization by lactobacilli. In particular, low pH (4.0 vs. 7.2) significantly increases the binding of lactobacilli to fibronectin, which is responsible for lactobacillar colonization of the vagina.[371,372] We have investigated simultaneously the incidence of BV and the quantitative composition of vaginal microflora in 42 women repeatedly (4 – 7 times) during pregnancy.[134] Bacterial vaginosis was found in 31.3% of the 229 samples, which corresponds to the data provided by other authors who found BV in 10– 26% of pregnant women.[373] At least one episode of BV during pregnancy occurred in nearly half of 42 women, 7 of whom had BV in all samples. The incidence of BV decreased during pregnancy, while the incidence and number of lactobacilli in the vaginal microflora increased ( p ¼ 0.01). In many women the BV was unstable, showing that its treatment during pregnancy could be postponed until the diagnosis of BV was confirmed repeatedly. Concerning the idea of “ecological” treatment of BV by administration of lactobacilli into the vagina, studies have shown conflicting results. Commercial probiotic lactobacilli, usually originating from the gastrointestinal tract, frequently fail to colonize the vagina. However, lactobacilli from the urogenital tract have shown quite good effect, even when administered orally.[374] V.

SUMMARY

Humans harbor an individually specific lactic acid microflora in various organ systems, especially in the gastrointestinal and genital tracts. This lactoflora consists of several

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Lactoflora and Host Well-Being

487

Hoang-Dung TRAN and friends species combinations typical for each individual, and its quantity is relatively stable during long survey periods. Unfortunately, the direct investigation of the lactoflora of various biotopes, e.g., GI, is often complicated. The formation of individually specific lactoflora starts in the perinatal period due to the selective microbial colonization of the baby with its mother’s lactobacilli. The selective colonization of the biotope is a characteristic of both the host and the microorganism. This conclusion is based, first, on the demonstration of the importance of the genetic background of the host and, second, on the specific microbial properties, including an ability to survive in the host’s secretions and to withstand the antagonistic activity of other microorganisms, involved in the process of individual lactoflora formation. However, more detailed attention to the precise mechanisms connected with the transfer of indigenous microflora from the mother to its neonate is needed to clarify the role of specificity in lactoflora formation. The precise purpose of the above studies is to learn how to create by means of particular lactobacilli the high colonization resistance of neonates. The ecological imbalance of the mother’s microflora, often caused by wide-spectrum antibacterial treatment, on the one hand, and the use of big maternity clinics with their strict antiseptic procedures at delivery, on the other, have distorted the natural source of the normal microflora. To overcome these problems, early close contact of the neonate with its mother immediately after birth has been suggested. The studies of development of lactoflora are closely related to the question of the impact of lactobacilli on the well-being of the host. Their important role has been demonstrated in communities with different degrees of industrialization. Particularly, the prospective studies of infant colonization by indigenous microflora in children later developing or not developing allergy show clear differences. The possibility of preventing allergy or treating it by probiotics has attracted wide attention by researchers and practitioners. The discovery of antioxidative lactobacilli widens our possibility of influencing the health of large populations by introducing functional foods with particular claims. The wide area of normal microflora of host may hold many promising secrets and possibilities for new discoveries.

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Lee, Y.K.; Nomoto, K.; Salminen, S.; Gorbach, S.L. Safety of probiotic bacteria. 17-21. In Handbook of Probiotics; Lee, Y.K., Nomoto, K., Salminen, S., Gorbach, S.L., Eds.; John Wiley & Sons, Inc.: New York, 1999; 1999. Stille, W. Die Mundhohle bei Infektionen und Infektionskrankheiten. Therapiewoche 1971, 21, 3157. Harty, D.W.S., Oakey, H.J.; Patrikakis, M.; Hume, B.B.H.; Knox, K.W. Pathogenic potential of lactobacilli. Int. J. Food. Microbiol. 1994, 24, 179. Husni, R.N.; Gordon, S-.M.; Washington, J.A.; Longworth, D.L. Lactobacillus bacteremia and endocarditis: review of 45 cases. Clin. Infect. Dis. 1996, 23, 1048– 1055. Mikelsaar, M.; Tu¨ri, E. Effect of antibacterial drugs and dental surgery on the translocation of digestive tract microflora. Microecol. Ther. 1990, 20, 93 – 97. Allison, D.; Galloway, A. Empyema of the gallbladder due to Lactobacillus casei (lett). J. Infect. Dis. 1988, 17, 191. Cox, S.M.; Philips, L.E.; Mercer, L.J.; Stager, C.E.; Waller, S.; Faro, S. Lactobacillemia of amniotic fluid origin. Obstet. Gynecol. 1986, 68, 134. Gasser, E. Safety of lactic acid bacteria and their occurrence in human clinical infections. Bull. Inst. Pasteur 1994, 92, 564 – 566. Saxelin, M., Chuang, N.-H.; Chassy, B.; et al. Lactobacilli and bacteremia in southern Finland, 1989– 1992. Clin. Infect. Dis. 1996, 22, 564 – 566. Salminen, M.; Tynkkynen, S.; Rautelin, H.; Saxelin, M.; Vaara, M.; Ruutu, P.; Sarna, S.; Valtonen, V.; Ja¨rvinen, A. Lactobacillus bacteremia during a rapid increase in probiotic use of Lactobacillus rhamnosus GG in Finland. Clin. Infect. Dis. 2002, 35, 1155– 1160. Asahara, T.; Takahashi, M.; Nomoto, K.; Takayama, H.; Onue, M.; Morotomi, M.; Tanaka, R.; Yokokura, T.; Yamashita, N. Assessment of safety of Lactobacillus strains based on resistance to host innate defence mechanisms. Clin. Lab. Diagn. Labor. Immun. 2003, 10, 169–173. Struve, J.; Weiland, O.; Nord, C.E. Lactobacillus plantarum endocarditis in patient with benign monoclonal gammopathy. J. Infect. 1988, 17, 127. Neef, P.A.; Polenakovik, H.; Clarridge, J.E.; Saklayen, M.; Bogard, L.; Bernstein, J.M. Lactobacillus paracasei continuous ambulatory peritoneal dialysis-related peritonitis and review of the literature. J. Clin. Microbiol. 2003, 41, 2783– 2784. Tu¨ri, E.; Lencner, H.; Mikelsaar, M.E.; Antalainen, K.; Randloo, P. Investigation of Odontogenic Bacteremia; Proc. Tartu University: Tartu, 1980; 93 – 98. Mikelsaar, M.; Tu¨ri, E.; Tu¨ri, M.; Smidt, I.; Tamm, H.; Mikelsaar, R.-H. Interaction of Lactobacillus fermentum and Escherichia coli in guinea pig testis model. Microecol. Ther. 1999, 28, 319– 326. Adawi, D.; Molin, G.; Ahrne, S.; Jeppson, B. Safety of probiotic strain Lactobacillus plantarum DSM 9843 (¼strain 299 v) in an endocarditis animal model. MEHD 2002, 14, 50– 53. Ahola, A.J.; Yli-Knuuttila, H.; Suomalainen, T.; Poussa, T.; Ahlstro¨m, A.; Meurman, J.H.; Korpela, R. Short-term consumption of probiotic-containing cheese and its affect on dental caries risk factors. Arch. Oral Biol. 2002, 47, 799 – 804. Ahumada, M.C.; Bru, E.; Colloca, M.E.; Lopez, M.E.; Nader-Macias, M.E. Evaluation and comparison of lactobacilli characteristics in the mouths of patients with or without cavities. J. Oral. Sci. 2003, 45, 1– 9. Nader de Macias, M.; Apella, M.C.; Romero, N.C.; Gonzalez, S.N.; Oliver, G. Inhibition of Shigella sonnei by Lactobacillus casei and Lact. acidophilus. J. Appl. Bact. 1992, 73, 407. Zheng, H.Y.; Alcorn, T.M.; Cohen, M.S. Effects of H2O2-producing lactobacilli on Neisseria gonorrhoeae growth and catalase activity. J. Infect. Dis. 170 1994, 5, 1209. Donohue, D.C.; Salminen, S. Safety of probiotic bacteria. Asia Pacific J. Clin. Nutr. 1996, 5, 25. Ouwehand, A.C.; Bianchi Salvadori, B.; Fonde´n, R. et al. Bull. IDF 2003, 380.

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Sepp, E.; Tamm, E.; Torm, S.; Lutsar, I.; Mikelsaar, M.; Salminen, S. Impact of a lactobacillus probiotic on the faecal microflora in children with shigellosis. Mikroo¨kol. Ther. 1995, 23, 74. Borriello, S.P. The influence of the normal flora on Clostridium difficile colonisation of the gut. Intestinal microflora and health. Ann. Med. 1990, 22, 61. Thomas, M.R.; Litin, S.C.; Osmon, D.R.; Corr, A.P.; Weaver, A.L.; Lohse, C.M. Lack of effect of Lactobacillus GG on antibiotic-associated diarrhea: a randomized, placebocontrolled trial. Mayo Clin. Proc. 2002, 76, 883 – 889. Naaber, P.; Maimets, M.; Mikelsaar, M. Clostridium difficile in the microflora of patients with antibiotic associated diarrhea. In 1st Nordic-Baltic Congress on Infectious Diseases; University of Tartu, Estonia, 1994; 82 pp. Naaber, P.; Mikelsaar, M. Antibiotic-compromised murine model of Clostridium difficile infection. Microecol. Ther. 1995, 25, 201. Naaber, P.; Smidt, I.; Stsepetova, J.; Brilene, T.; Annuk, H.; Mikelsaar, M. Selective ability of intestinal lactobacilli to inhibit Clostridium difficile in vitro (in press). Vanderhoof, J.A.; Whitney, D.B.; Antonson, D.L.; Hanner, T.L.; Lupo, J.V.; Young, R.J. Lactobacillus GG in the prevention of antibiotic-associated diarrhea in children. J. Pediatr. 1999, 135, 535– 537. Marchand, J.; Vanderplas, Y. Micro-organisms administered in the benefit of the host: myths and facts. Eur. J. Gastroenterol Hepatol 2000, 12, 1077– 1088. Lizko, N.N.; Shilov, V.M.; Syrych, G.D. Die besonderheiten der Bildung einer Dysbakteriose des Darms beim Menschen unter Extrembedingungen. Nahrung 1984, 28, 599 pp. Sudenko, V.I.; Nagornaia, S.S.; Groma, L.I. The intestinal microflora of persons subjected to a radiation lesion. Mikrobiol. Zhurnal 1992, 54 (4), 16 (in Russian). Kaila, M.; Isolauri, E.; Soppi, E.; Virtanen, E.; Laine, S.; Arvilommi, H. Enhancement of the circulating antibody secreting cell response in human diarrhea by a human Lactobacillus strain. Pediatr. Res. 1992, 32, 141– 144. Voronina, M.N. Lactobacilli of Human Gastric Microflora, Tartu, 1968; Dissertation (in Russian). Mikelsaar, M.; Kolts, K.; Maaroos, H.-I. Microbial ecology of Helicobacter pylori in antral gastritis and peptic ulcer disease. Microb. Ecol. Health Dis. 1990, 3, 245. Kriisk, E.; Oona, M.; Ra¨go, T.; Maaroos, H.-I.; Mikelsaar, M.; Korhonen, H.; Salminen, S. Microorganisms of the gastric antrum in Helicobacter pylori infection. Microecol. Ther. 1995, 25, 133. Mahida, Y.R.; Rose, F.; Chan, W.C. Antimicrobial peptides in the gastrointestinal tract. Gut 1997, 40, 161–163. Kaila, M.; Isolauri, E.; Sepp, E.; Mikelsaar, M.; Salminen, S. Fecal recovery of a human Lactobacillus strain (ATCC 53103) during dietary therapy of rotavirus diarrhea in infants. Biosci. Microflora 1998; 17 (2), 149– 151. Isolauri, E.; Majamaa, H.; Arvola, T.; Rantala, I.; Virtanen, E.; Arvilommi, H. Lactobacillus casei strain GG reverses increased intestinal permeability induced by cow milk in suckling rats. Gastroenterology 1993, 105, 1643. Salminen, E.; Salminen, S.; Vapaatalo, H.; Holsti, L.R. Adverse effects of pelvic radio¨ GRO 5, therapy. In 5th International Meeting on progress in Radio-Oncology ICRO/O Salzburg, Austria, 10–14 May 1995; 1995b; 501 – 504. Wold, A. Immune effects of probiotics. Scand. J. Nutr. 2001, 45, 76 – 85. Kallioma¨ki, M.; Isolauri, E. Role of intestinal flora in the development of allergy. Curr. Opin. Allergy Clin Immunol. 2003, 3, 15– 20. Watanabe, S.; Narisawa, Y.; Arase, S. et al. Differences in faecal microflora between patients with atopic dermatitis and healthy control subjects. J. Allergy Clin. Immunol. 2003, 111, 587 – 591. Brandtzaeg, P. Development and basic mechanisms of human gut immunity. Nutr. Rev. 1998, 56, S5 –S18.

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McQuirk, P.; Mills, K. Pathogen-specific regulatory T cells provoke a shift in the Th1/Th2 paradigm in immunity to infectious diseases. Trends Immunol. 2002, 23, 450 – 455. Sudo, N.; Sawamura, S.; Tanaka, K.; Aiba, Y.; Kubo, C.; Koga, Y. The requirement of intestinal bacterial flora for the development of an IgE production system fully susceptible to oral tolerance induction. J. Immunol. 1997, 159, 1739– 1745. Kallioma¨ki, M.; Salminen, S.; Poussa, T.; Arvilommi, H.; Isolauri, E. Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial. Lancet 2003, 361, 1869–1871. Rautava, S.; Kallioma¨ki, M.; Isolauri, E. Probiotics during pregnancy and breast-feeding might confer immunomodulatory protection against atopic disease in the infant. J. Allergy Clin. Immunol. 2002, 109, 119– 121. Isolauri, E.; Arvola, T.; Su¨tas, Y. et al. Probiotics in the management of atopic eczema. Clin. Exp. Allergy 2000, 30, 1604 –1610. Biofactors. Proceedings of the Second International Symposium on Antioxidants in Nutrition and Therapy, Bali, Indonesia, 2 – 4 October 2002, Vol. 19, No. 1 – 2/2003. Kullisaar, T.; Kaur, S.; Eisen, M.; Vihalemm, T.; Rehema, A.; Songisepp, E.; Mikelsaar, M.; Zilmer, M. Probiotic L. fermentum ME-3 decreases atopic dermatitis clinical indices. In 2nd Probiotics & Prebiotics New Foods; Rome, September 7/9, 2003. Kaizu, M.; Sasaki, M.; Nakajima, H.; Suzuki, Y. Effect of antioxidative lactic acid bacteria on rats fed a diet deficient in vitamin E. J. Dairy Sci. 1993, 76, 2493– 2499. Lin, M.Y.; Yen, C.L. Antioxidative ability of lactic acid bacteria. J. Agric. Food Chem. 1999, 47, 1460– 1466. Lin, M.Y.; Chang, F.Y. Antioxidative effect of intestinal bacteria Bifidobacterium longum ATCC 15708 and Lactobacillus acidophilus ATCC 4356. Dig. Dis. Sci. 2000, 45, 1617 – 1622. Agerholm-Larsen, L.; Raben, A.; Haulrik, N.; Hansen, A.S.; Manders, M.; Astrup, A. Effect of 8 weeks intake of probiotic milk products on risk factors for cardiovascular diseases. Eur. J. Clin. Nutr. 2000, 54, 288– 297. Gutteridge, J.M.; Halliwell, B. Free radicals and antioxidants in the year 2000. A historical look to the future. Ann. NY Acad. Sci. 2000, 899, 136 – 147. Pomposiello, P.J.; Bennik, M.H.J.; Demple, B. Genome-wide transcriptional profiling of the Escherichia coli responses to superoxide stress and sodium salicylate. J. Bact. 2001, 183, 3890– 3902. Velioglu, Y.S.; Mazza, G.; Gao, L.; Oomah, B.D. Antioxidant activity and total phenolics in selected fruits, vegetables, and grain products. J. Agric. Food. Chem. 1998, 46, 4113– 4117. Miller, R.A.; Britigan, B.E. Role of oxidants in microbial pathophysiology. Clin. Microbiol. Rev. 1997, 10, 1 – 18. Roberts, J.M.; Cooper, D.W. Pathogenesis and genetics of pre-eclampsia. Lancet 2001, 357, 53– 55. Hu¨tt, P.; Songisepp, E.; Kullisaar, T.; Zilmer, M.; Mikelsaar, M. Clinical volunteer trial using probiotic capsules. In 2nd Probiotics & Prebiotics New Foods; Rome, 2003; September 7/9. O’Brien, R.C.; Luo, M.; Balazs, Mecuri, J. In vitro and in vivo antioxidant properties of gliclazide. J. Diabetes Complications 2000, 14, 201 – 206. Sobel, J.D. Bacterial vaginosis—an ecologic mystery. Ann. Intern. Med. 1989, 111, 551. Kasprowicz, A.; Bialecka, A. Characteristics of Lactobacillus species strains isolated from reproductive organs in various clinical cases. Med. Dosw. Mikrobiol. 1993, 45, 195. Nagy, I.; Fro¨man, G.; Mardh, P.-A. Fibronectin binding of Lactobacillus species isolated from women with and without bacterial vaginosis. J. Med. Microbiol. 1992, 37, 38. Biswas, M.K. Bacterial vaginosis. Clin. Obstet. Gynecol. 1993, 36, 166. Ugwnmadu, A.H. Bacterial vaginosis in pregnancy. Curr. Opin. Obstet. Gynecol. 2002, 14, 115– 118.

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Reid, G.; Charbonneau, D.; Erb, J.; Kochanowski, B.; Beuerman, D.; Pochner, R.; Bruce, A.W. Oral use of Lactobacillus rhamnosus GR-1 and L. fermentum RC-14 significantly alters vaginal flora: randomised, placebo-controlled trial in 64 healthy women. FEMS Immunol. Med. Microbiol. 2003, 35, 131 – 134. 375. Connor, J.P.; Bullen, R.E. Lactobacillus sepsis with pelvic abscess. Gynecol. Oncol. 1994, 54, 99. 376. Freter, R. Mechanism that control the microflora in the large intestine. In Human Intestinal Microflora in Health and Disease; Hentges, D.J., Ed.; Academic Press: New York, 1983; 33 – 54.

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Hoang-Dung TRAN and friends

17 Lactic Acid Bacteria and Intestinal Drug and Cholesterol Metabolism ALICE H. LICHTENSTEIN USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts, U.S.A. BARRY R. GOLDIN Tufts University School of Medicine, Boston, Massachusetts, U.S.A.

I.

INTRODUCTION

The intestinal microflora of humans is a complex ecosystem of metabolically active microorganisms in close proximity to an absorptive mucosal surface. Substrates for bacterial transformation can reach the intestinal flora through direct oral ingestion, by biliary secretion into the upper bowel, or by secretion across the mucosa. This chapter reviews the metabolic activity of the microorganisms that reside in the intestine and reviews the current knowledge regarding the role of Lactobacillus in this environment.

II.

BACTERIAL COMPOSITION OF THE GASTROINTESTINAL TRACT

The gastrointestinal tract is inhabited by a diverse bacterial population that constitute a complex ecosystem. More than 400 different bacterial species have been isolated and identified in feces.[1,2] Strict anaerobic bacteria are the most common organisms in the intestinal tract outnumbering facultative bacteria by a factor of 102 – 104. In Table 1 the most prevalent microorganisms found at various locations in the human gastrointestinal tract are shown. In healthy individuals the stomach and upper small intestine have relatively low numbers of microorganisms. 507 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Table 1

Distribution and Composition of the Intestinal Flora

Site

Compositiona

Stomach

Streptococcus Lactobacillus Similar to stomach

Duodenum and jejunum Ileal-cecal

Colon

Bacteriodes Clostridium Streptococci Lactobacilli Bacteriodes (1010 – 1011) Clostridium (1010) Eubacterium (1010) Peptococcus (1010) Bifidobacterium (109 – 1010) Streptococcus (1010) Fusobacterium (109 – 1010)

Total number of organisms per mL contents 101 – 102 102 – 104 106 – 108

1011.5 – 1012

a

Organisms listed represent only the major species isolated from the different sites. Source: Ouwehand et al.[37]

The lower small intestine is a transition zone between the sparely populated upper gastrointestinal tract and the heavily bacterially populated colon. In the lower ileum the number of bacteria increases to between 106 and 107 organisms per milliliter of contents. In the colon the bacterial concentration increases between 1011 and 1012 organisms per milliliter of fecal material (Table 1). To illustrate the density of bacteria in the colon, one third of the fecal dry weight consists of variable bacteria.

III.

BACTERIAL COLONIZATION OF THE GASTROINTESTINAL TRACT

Colonization of the gastrointestinal tract in humans occurs within a few days after birth (Haenel, 1975). The course of colonization is influenced by gestational age, type of delivery, and dietary constituents. The initial phase of colonization occurs over approximately a 2-week period. During this period the bacterial colonization is similar for breast- and formula-fed infants. Almost always Escherichia coli and Streptococcus are the first organisms detected in the feces at concentrations between 108 and 1010 organisms per gram of feces.[3] This is often followed by the appearance of anaerobic organism, namely Clostridium, Bifidobacterium, and Bacteriodes. In breast-fed infants there follows a period during which there is a significant reduction in the populations of E. coli and Streptococcus and a partial or complete disappearance of Clostridium and Bacteroides. This decrease in bacterial populations results in the predominance of Bifidobacterium in the intestine of breast-fed infants. In formula-fed infants the bacterial reductions and disappearances do not occur, resulting in a more complex intestinal microflora.[4 – 8] The relatively simple flora of the breast-fed baby continues until other foods are included in the diet. After the introduction of other foods there is a return of E. coli, Clostridium, and Streptococcus to

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Hoang-Dung TRAN and friends the intestinal tract of the breast-fed infant as witnessed by isolation of these organisms from the feces.[9] The intestinal flora of the breast-fed infant now resembles that of the formulafed baby. There is then a period of transition which continues into the second year of life at which time the composition of the intestinal microflora evolve to resemble the bacterial composition found in the adult.

IV.

LACTOBACILLI RESIDING IN THE HUMAN GASTROINTESTINAL TRACT

The indigenous intestinal microflora of most healthy individuals harbor representatives of Lactobacillus genera. Finegold et al.[1] reported finding in feces L. acidophilus, L. fermentum, L. plantarum, L. minutus, and other Lactobacillus species (not identified). The concentration of viable organisms varied between 108 and 109. Holderman and Moore[2] also analyzed fecal specimens and found similar results. They also detected L. leichmannii and L. ragosae in the fecal flora. It is interesting to note that L. bulgaricus, the organism commonly used in the production of yogurt, was not routinely isolated from the fecal cultures. It is clear that Lactobacillus is a component of the normal intestinal flora, but only certain species are normally present in the intestinal tract. V.

INTESTINAL REACTIONS IN WHICH LACTOBACILLUS HAS BEEN IDENTIFIED AS A PARTICIPANT

Scheline[10] tested a number of different substrates and intestinal microorganisms to determine the type of reactions that specific Lactobacillus species catalyze. These investigators found that a Lactobacillus species could reduce the double bond in hydroxycinnamic acid, reduce the nitro group of 4-nitrobenzoic acid, and reduce the azo bonds found in methyl red and acid yellow. Pradham and Majumdar[11] reported that Lactobacillus acidophilus cleaves the azo bond of sulfasalazine, also known as azulfidine, a drug used to treat patients with ulcerative colitis. These investigators also found that L. acidophilus degraded 17.6% of the antimicrobial agent phthalylsulfathiazole and 8% of the antibiotic chloramphenicol palmitate. These investigators also confirmed the previous study and demonstrated that L. acidophilus could rapidly hydrolyze the azo bond of tartrazine and methyl red. Lactobacillus helveticus and Lactobacillus salivarius had similar but lower activity when compared to L. acidophilus. The most rapid reaction performed by Lactobacillus was the reductive hydrolysis of the azo bond followed by hydrolysis of the amide bond. The least active of the reactions studied was the hydrolysis of the ester bond of chloramphenicol palmitate. Gilliland and Speck[12] studied the ability of L. and Lactobacillus casei to hydrolyze conjugates of bile acids. They found that all six strains of L. acidophilus deconjugated taurocholate, but only one of six deconjugated glycocholate. None of 13 strains of L. casei hydrolyzed glycocholate. Lundeen and Savage[13] reported that lactobacilli were responsible for 86% of the hydrolysis of bile acids in the ileum and about 74% in the cecum of mice. Another reaction that Lactobacillus has been shown to carry out is dehydroxylation.[14] The dehydroxylation product metahydroxy phenylpropionic acid was isolated in the urine of gnotobiotic rats fed caffeic acid who had been coinfected with two strains of lactobacilli—a strain of bacteriocides and that group N streptococci. The combination of organisms was required for the dehydroxylation, since none of the individual bacteria carried out the reaction alone. Lactobacilli have also been shown to reduce the double bond of 3-hydroxycinnamic

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Hoang-Dung TRAN and friends acid[10] and cinnamic acid[15] to produce, respectively, 3-hydroxyphenylpropionic acid and phenylpropionic acid. Lactobacillus species have been shown to be capable of decarboxylating amino acids,[16] and a Lactobacillus acidophilus isolate from the stomach of rats was shown to exhibit histidine decarboxylase activity.[17] The biological function of biogenic amines is currently under debate. Although at high concentrations they are detrimental, the body requires them in low concentrations.

VI.

INTESTINAL CHOLESTEROL METABOLISM

The intestine has a profound effect on cholesterol metabolism, many areas of which have been reviewed.[18,19] The liver and intestine are the sites of cholesterol synthesis and metabolism. A unique aspect of the intestine is the presence of a large and diverse bacterial population, which impacts greatly on this process. Complicating the understanding of those processes is the extreme variation in the normal intestinal processing of cholesterol by different population groups and among individuals with diseases of the intestinal tract. Additionally, there is variability with respect to the effect of dietary supplements and probiotics on plasma cholesterol concentrations. For these reasons, an understanding of the complex fate of cholesterol in the intestinal tissue and lumen of the intestine is required to understand sterol balance in the body. VII.

SOURCES OF INTESTINAL CHOLESTEROL

A major source of intestinal cholesterol derives from the de novo synthesis of this sterol. In many animal species mucosal cells secrete cholesterol directly into the lumen;[19] however, this does not appear to occur in humans.[20] In humans cholesterol synthesized by the intestinal cells is introduced into the small intestine via exfoliation of intestinal cells. Additional sources of intestinal cholesterol come from secreted bile and the diet. Connor et al.[21] suggested that bacterial metabolism of cholesterol converters was highest in persons consuming a mixed western diet. Subsequent work has indicated that there is not a homogeneous group of converters, and that the percent conversion may be lower than first thought. VIII.

ASSOCIATION WITH BACTERIAL CHOLESTEROL AND COLONIC CANCER

Considerable interest has focused on determining whether bacterial metabolism of cholesterol influences the development of certain disease states of the colon, especially in light of the findings that there exist certain individuals who have markedly different rates of bacterial metabolism of cholesterol. Aries et al.[22] suggested that the composition of the intestinal microflora was dependent on diet and that variations in dietary intakes influenced intestinal secretions and the substrates available to the bacteria for metabolism. Surveys of different population groups with different risks of colon cancer support this hypothesis.[23 – 25] Reddy et al.[24] found that switching a person from a high-colon-cancer-risk (high meat) diet to a low-colon-cancer-risk (non-meat) diet resulted in shifts in the composition of the intestinal microflora and neutral sterols. Reddy et al.[24] reported that patients with diagnosed colon cancer who were consuming what was considered to be a mixed western diet had higher total sterol output than controls. This increased excretion of sterols was contributed to by increased amounts

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Hoang-Dung TRAN and friends of both cholesterol and coprostanol per gram dry weight of feces. A previous study assessing the enzymatic activity of cholesterol dehydrogenase in the feces of patients with colon cancer and controls showed a higher level of activity in the patient group, possibly explaining the higher concentration of coprostanol previously observed.[26] Reddy et al.[24] next investigated the rate of bacterial metabolism of cholesterol in patients with ulcerative colitis since this group of persons is at high risk for developing colon cancer. They compared fecal sterol concentration to a classic control group, relatives of the patients, and a group of persons with other digestive diseases. They found that in those persons with ulcerative colitis total neutral fecal sterol output was significantly greater than that in any of the control groups. This increase was contributed to by increases in the concentration of cholesterol (fourfold) and coprostanol (twofold). When the data were expressed as a ratio of cholesterol to its major metabolites, patients with ulcerative colitis had a significantly higher ratio than any of the control groups, indicating a lower level of bacterial metabolism.

IX.

INFLUENCE OF DAIRY PRODUCTS ON INTESTINAL CHOLESTEROL METABOLISM

Interest has been focused on the effect of specific foods on the bacterial metabolism of cholesterol and, going a step further, the implications of this on plasma cholesterol levels. Given that elevated plasma cholesterol has been identified as a major risk factor for coronary heart disease and that nonpharmacological approaches to normalizing the levels are the treatment of choice, the progression is logical. A number of studies in both animals and humans have looked at the effect of a variety of fermented and nonfermented dairy products on plasma cholesterol. Mann[27] reported that the consumption of both skim and full-fat yogurt significantly decreased plasma cholesterol after the administration of radiolabeled acetate; he attributed the effect to an inhibitor of hydroxymethylglutaryl CoA reductase. Hepner et al.[28] fed pasteurized and nonpasteurized yogurt and 2% butterfat milk to humans for varying periods of time. They reported that both yogurts significantly lowered plasma cholesterol 5 – 10% by one week and that this was maintained for 4 weeks, whereas buttermilk had no effect. Rossouw et al.[29] tested the hypothesis that the “milk factor” proposed by Mann[27] could lower plasma cholesterol in young males. The subjects were fed skim milk, 1.8% fat yogurt, or 3.3% fat milk for 5 weeks. Only the skim milk resulted in a sustained decrease in plasma cholesterol, which the authors attributed to the decreased consumption of saturated fat and cholesterol. Considering two rat studies, Grunewald[30] reported that feeding fermented acidophilus skim milk, but not unfermented skim milk, for 4 weeks resulted in a decrease in plasma cholesterol. Pulusani and Rao[31] fed skim milk, whole milk, 2% fat buttermilk, yogurt, buttermilk, or sweet acidophilus milk to humans for 3 weeks. No significant differences in plasma cholesterol were observed during that period. Lin et al.[32] conducted a double-blind study to determine the effect of Lactinex, a commercially available tablet containing Lactobacillus acidophilus and Lactobacillus bulgaricus. The viable bacterial count in the preparation was 2  106. A total of 354 subjects were entered into the study. There was no difference detected between the treatment and placebo groups for total plasma cholesterol or any of the lipoprotein fractions. The subjects received Lactinex for two 6-week periods separated by a 3-week washout. These results are not

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Hoang-Dung TRAN and friends surprising given the very low dose of organisms ingested by the subjects. This dose is several orders of magnitude lower than would be ingested by an individual eating 6-oz. container of yogurt daily. In an interesting study, Gilliland et al.[33] isolated a strain of L. acidophilus selected for its ability to grow in the presence of bile and assimilate cholesterol. Administration of this culture for 10 days to pigs partially prevented a diet-induced elevation in serum cholesterol. Strains that grew in the presence of bile but did not assimilate cholesterol served as a negative control. As a result of these studies Gilliland and Walker[34] looked for a human strain with similar cholesterol-assimilating properties. They reported that an L. acidophilus – designated strain NCFM had an appreciable ability to assimilate cholesterol, although not as high as the pig strain, and could be useful for lowering plasma cholesterol in humans. There are now several studies assessing the efficacy of probiotics in general and two that concentrate on the cholesterol-lowering effects. These have approached the question by using the meta-analysis of existing clinical studies. A major drawback is the lack of studies on specific strains, and therefore the analysis has focused on studies conducted with different strains and products. Two such reviews concentrated on cholesterol-lowering effects.[35,36] The first concluded that no proven cholesterol-lowering effects could be found. The second, focusing only on short-term intervention studies with one yogurt type (one product and specific strain used for producing the yogurt), reported a 4% decrease in total cholesterol and 5% decrease in low-density lipoprotein cholesterol. It is clear that long-term studies are required before any conclusion as to the efficacy of such treatment can be reached. Bacterial metabolism of cholesterol can be influenced by diet, as evidenced by significant variations among different population groups with different dietary habits. Altered patterns of intestinal bacterial metabolism of cholesterol may place persons at a higher risk for developing the disorder. Additionally, there may to be a relationship between the intake of certain dairy products and plasma cholesterol, although that relationship is far from being defined. More work needs to be done to clarify the relationship between dietary intake, bacterial metabolism, and plasma cholesterol levels.

X.

CONCLUSION

The large number of microorganisms (approximately 1014) that occupy the normal human intestinal tract constitute an ecosystem capable of metabolizing a large number of exogenous and endogenous compounds. Among this population the lactobacilli form an active component and participate in many of these reactions. The fate and pharmacokinetics of drugs, procarcinogens, dietary components, and endogenous compounds, such as bile acids, are influenced by the intestinal microflora. The metabolic events occurring in the intestine have a central role in the fate and regulation of cholesterol in the body. As a consequence of cholesterol’s central importance in normal physiology and disease, the role of the intestine in cholesterol metabolism has great significance. A large body of information has been collected regarding intestinal cholesterol metabolism; however, many important details and questions have not been determined or answered, and this area is a fertile ground for future research. REFERENCES 1.

Finegold, S.M.; Attebery, H.R.; Suitter, V.L. Effect of diet on human fecal flora: comparison of Japanese and American diets. Am. J. Clin. Nutr. 1974, 27, 1546– 1569.

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10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.

22. 23. 24. 25. 26.

Moore, W.E.C.; Holderman, L.V. Human fecal flora: the normal flora of 20 JapaneseHawaiians. Appl. Microbiol. 1974, 27, 961 –979. Gruette, F.K.; Horn, R.; Haenel, H. Erna¨hrung und biochemisch Mikrookologische Vorgange in Enddarm von Sa¨uglingen. A. Kindesheilkd 1965, 93, 28 – 39. Haenel, H.; Bendig, J. Intestinal flora in health and disease. Prog. Food Nutr. Sci. 1975, 1, 21 – 64. Ellis-Pegler, R.B.; Crabtree, C.; Lampert, H.P. The faecal flora of children in the United Kingdom. J. Hyg. 1975, 75, 135– 142. Rotimi, V.O.; Duergen, B.I. The development of the bacterial flora in normal neonates. J. Med. Microbiol. 1981, 14, 51–62. Stark, P.L.; Lee, A. The microbial ecology of the large bowel of breast-fed and formula-fed infants during the first year of life. J. Med. Microbiol. 1982, 15, 189 –203. Harmsen, H.J.M.; Wildeboer-Veloo, A.C.M.; Grijpstra, J.; Knol, J.; Degener, J.E.; Welling, G.W. Development of 16S rRNA-based probes for the Coriobacterium group and the Atopobium cluster and their application for enumeration of Coriobacteriaceae in human feces from volunteers of different age groups. Appl. Environ. Microbiol. 2000, 66, 4523– 4527. Favier, C.F.; Vaughan, E.E.; de Vos, W.M.; Akkermans, A.D.L. Molecular monitoring of succession of bacterial communities in human neonates. Appl. Environ. Microbiol. 2002, 68, 219 – 226. Scheline, H.A. Metabolism of xenobioties by strains of intestinal bacteria. Acta Pharmacol. Toxicol. 1972, 31, 471– 480. Pradham, A.; Majumdar, M.K. Metabolism of some drugs by intestinal lactobacilli and their toxicological considerations. Acta Pharmacol. Toxicol. 1986, 58, 11 – 15. Gilliland, S.E.; Speck, M.L. Deconjugation of bile acids by intestinal lactobacilli. Appl. Environ. Microbiol. 1977, 33, 15– 18. Lundeen, S.G.; Savage, D.C. Characterization and purification of bile salt hydrolase from Lactobacillus sp strain 100-100. J. Bacteriol. 1990, 172, 4171– 4177. Peppercorn, M.A.; Goldman, P. Caffeic acid metabolism by gnotobiotic rats and their intestinal bacteria. Proc. Natl. Acad. Sci. 1972, 69, 1413– 1415. Whiting, G.C.; Carr, J.G. Metabolism of cinnamic acid and hydroxycinnamic acids by Lactobacillus pastroranius var. quinicus. Nature 1959, 184, 1427– 1428. Arena, M.E.; Manca de Nadra, M.C. Biogenic amine production by Lactobacillus. J. Appl. Microbiol. 2001, 90, 158– 162. Horakova, Z.; Zeirdt, C.H.; Zeaven, M.A. Identification of Lactobacillus as the source of bacterial histidine decarboxylase in rat stomach. Eur. J. Pharmacol. 1971, 16, 67 –77. Field, F.J.; Kam, N.T.P.; Mathur, S.N. Regulation of cholesterol metabolism in the intestine. Gastroenterology 1990, 99, 539– 551. Lutton, C. The role of digestive tract in cholesterol metabolism. Digestion 1976, 14, 342 – 356. Spritz, N.; Ahrens, E.H.; Grundy, S. Sterol balance in man as plasma cholesterol concentrations are altered by exchanges of dietary fats. J. Clin. Invest. 1965, 44, 1482– 1493. Connor, W.E. et al. Cholesterol balance and fecal neutral steroid and bile acid excretion in normal men fed dietary fats of different fatty acid composition. J. Clin. Invest. 1969, 48, 1363– 1375. Aries, V. et al. Bacteria and the aetiology of cancer of the large bowel. Gut 1969, 10, 334 – 335. Hill, M.-J.; Aries, V.C. Fecal steroid composition and its relationship to cancer of the large bowel. J. Pathol. 1971, 104, 129– 139. Reddy, B.S.; Mastromarini, A.; Wynder, E. Diet and metabolism: large-bowel cancer. Cancer 1977, 39, 1815–1819. Taylor, S.A.; Ster, T.E.; Gibson, G.R. Diet, bacteria and colonic cancer. Nutr. Food Sci. 1999, 187 – 191. Mastromarino, A.; Reddy, B.S.; Wynder, E.L. Metabolic epidemiology of colon cancer: enzymatic activity of fecal flora. Am. J. Clin. Nutr. 1976, 29, 1455– 1460.

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35.

36.

37.

Mann, G. A factor in yogurt which lowers cholesteremia in man. Atherosclerosis 1977, 26, 335– 340. Hepner, G.; Fried, R.; St. Jeor, S.; Fusetti, L.; Morin, R. Hypocholesterolemic effect of yogurt and milk. Am. J. Clin. Nutr. 1979, 32, 19 – 24. Rossouw, J.E.; Burger, E.M.; Van Ne Vyver, P.; Ferreira, J.J. The effect of skim milk, yogurt, and full cream milk on human serum lipids. Am. J. Clin. Nutr. 1981, 34, 351 – 356. Grunewald, K.K. Serum cholesterol levels in rats fed skim milk fermented by Lactobacillus acidophilus. J. Food Sci. 1982, 47, 2078– 2079. Pulusani, S.R.; Rao, D.R. Whole body liver and plasma cholesterol levels in rats fed thermophilus, bulgaricus and acidophilus milks. J. Food Sci. 1983, 48, 280 –281. Lin, S.Y.; Ayres, J.W.; Winkler, W.; Sandine, W. Lactobacillus effects on cholesterol: in vitro and in vivo results. J. Dairy Sci. 1989, 72, 2885– 2899. Gilliland, S.E.; Nelson, C.R.; Maxwell, C. Assimilation of cholesterol by Lactobacillus acidophilus. Appl. Environ. Microbiol. 1985, 49, 377 –381. Gilliland, S.E.; Walker, D.K. Factors to consider when selecting a culture of Lactobacillus acidophilus as a dietary adjunct to produce a hypocholesterolemic effect in humans. J. Dairy Sci. 1990, 73, 905– 911. De Roos, N.; Katan, M. Effects of probiotic bacteria on diarrhea, lipid metabolism, and carcinogenesis: a review of papers published between 1988 and 1998. Am. J. Clin. Nutr. 2000, 71, 405– 411. Agerholm-Larsen, L.; Bell, M.L.; Grunwald, G.K.; Astrup, A. The effect of a probiotic milk product on plasma cholesterol: a meta-analysis of short term intervention studies. Eur. J. Clin. Nutr. 2000, 54, 856– 860. Ouwehand, A.C.; Bianchi Salvadori, B.; Fonde´n, R.; Mogensen, G.; Salminen, S.; Sellars, R. Health effects of probiotics and culture-containing dairy products in humans. Bull IDF 2003, 380, 4 – 19.

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18 Human Studies on Probiotics: What is Scientifically Proven Today? SEPPO SALMINEN University of Turku, Turku, Finland S. GORBACH Tufts University, School of Medicine, Boston, Massachusetts, U.S.A. YUAN-KUN LEE National University of Singapore, Singapore Y. BENNO Japanese Collection of Microorganisms, RIKEN, Saitama, Japan

I.

INTRODUCTION

A probiotic has been defined by the ILSI (International Life Sciences Insitute) Europe working group as “a viable microbial food supplement which beneficially influences the health of the host”.[1] This definition requires that safety and efficacy of probiotics have to be scientifically demonstrated for each strain and each product. Demonstration of health effects includes research on mechanisms and clinical studies with human subjects. The same ILSI Europe working group also defined probiotic foods as functional if they have been satisfactorily demonstrated to beneficially affect one or more target functions in the body beyond adequate nutritional effects, in a way that is relevant to either an improved state of health and well-being and/or reduction in the risk of diseases.[2] These definitions have set the basis for the assessment of the health promoting potential of probiotics. It has also been used as a basis for the International Dairy Federation Expert Group reports on probiotic health effects.[3,4,5] Based on extensive reviews of data from published reports it can be concluded that specific probiotics have proven 515 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Hoang-Dung TRAN and friends benefits which can be attributed to specific products. These studies and strains are the focus of this discussion.

II.

GUT BACTERIA—THE KEY TO HEALTH AND WELL-BEING

The bacteria in our gastrointestinal tract have a profound influence on our well-being. Several recent reviews have addressed the role of gut bacteria and probiotics in human health.[6 – 8] Living microorganisms have long been used as supplements to restore gut health at times of dysfunction. All of the probiotics used today have been isolated from human gut contents, and healthy subjects have been used as source of probiotic organisms. III.

BACKGROUND FOR ASSESSMENT OF HEALTH EFFECTS

Assessing probiotic efficacy in humans requires one to understand that all probiotic strains are unique and different. Their properties and characteristics should be well defined, and studies on even closely related strains cannot be extrapolated without great caution. It is important to clearly identify each strain using modern methodology and to make all study strains available for all research groups participating in the world-wide assessment work on health effects and mechanisms. There is a tradition of using cultures for fermented milks and other foods to enhance health-related qualities (Table 1). IV.

PROBIOTIC STRAINS AND THEIR EFFECTS: META-ANALYSIS

Several studies have assessed the efficacy of probiotics in general. Several meta-analyses of existing clinical studies have been published. Most assessment studies have focused on the efficacy of probiotics in acute diarrhea in children.[9 – 13] The objective of these studies was to assess the efficacy of probiotics in general in reducing the duration of acute diarrheal disease in children. The main outcome criteria were differences in diarrhea duration

Table 1

Microorganisms Usually Connected with Beneficial Probiotic and Dietary Properties in Cultured Milks

Bifidobacterium longum Bifidobacterium bifidum Bifidobacterium infantis Bifidobacterium animalis Bifidobacterium lactis Pediococcus acidilactici Lactobacillus delbrueckii subsp. bulgaricus Lactobacillus acidophilus Lactobacillus casei Lactobacillus paracasei Lactobacillus plantarum Lactobacillus reuteri Lactobacillus rhamnosus Propionibacterium freudenreichii Enterococcus faecium (previous name Streptococcus faecium)

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Hoang-Dung TRAN and friends or diarrhea frequency between groups. All reviews concluded that probiotic therapy shortens the duration of diarrheal illness in children, but the heterogeneity of clinical studies did not allow firm conclusions on preventing acute gastroenteritis. The second assessment goal was the use of probiotics in antibiotic-associated diarrhea in children. Two studies completed a meta-analysis in this area.[14,15] The reviews concluded that further studies are needed and an assessment of the costs and need for routine use of probiotics should also be conducted. One review has focused on the use of probiotics and other therapies in ulcerative colitis and Crohn’s disease (Baert and Rutgerts, 2000). No firm conclusions on probiotic use could be made. Two reviews concentrated on cholesterol-lowering effects.[12,16] The first concluded that no proved effects could be found on cholesterol-lowering. The second, focusing on short-term intervention studies with one yogurt type, reported a 4% decrease in total cholesterol and 5% decrease in low-density lipoprotein (LDL) cholesterol. It is clear that long-term studies are required before any conclusion as to cholesterol-lowering effects can be made. All meta-analyses have been completed assessing studies with different probiotics even though the properties are significantly different and the strain effects cannot be expected to be similar. Thus, future meta-analysis should be completed using studies conducted with the same strain only without combining the data from several strains. This is likely to be possible soon as more studies are published and data become available on single strains or products with defined strain combinations. A number of reported probiotic health-related effects have been only partially established, but some can be considered reasonably well established and clinically well documented for specific strains. Such strain-specific proven health effects are listed in Table 2. Other reported effects requiring more data before reaching conclusions involving specific probiotic strains are shown in Table 3.

Table 2

Established and Proposed Health Effects of Specific Clearly Defined Probiotics Scientifically established health effects: Reduction in duration of rotavirus diarrhea Reduction in duration of antibiotic-associated diarrhea Reduction in risk of rotavirus diarrhea Alleviation of symptoms of lactose intolerance (specific strains only) Alleviation of symptoms of food allergy in infants Future challenges to be confirmed in human trials: Prevention of atopic disease Reduction in risk of bladder cancer or colon cancer Alleviation of symptoms of irritable bowel disease and irritable bowel syndrome, Crohn’s disease Reduction in risk of Clostridium difficile diarrhea and nutritional management of Clostridium difficile colitis Dietary cholesterol control Reduction in risk of respiratory infections in infants and children Reduction in risk of dental caries

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Table 3

Current Probiotic Bacteria and Their Reported Effects Selected reviews with further references

Strain

Reported effects in clinical studies

L. johnsonii LA1

Adherence to human intestinal cells, balances intestinal microbiota, immune enhancement, adjuvant in H. pylori treatment

[1,21]

L. acidophilus NCFB 1748

Lowering of fecal enzyme activity, decreasing fecal mutagenicity, prevention of radiotherapyrelated diarrhea, improvement of constipation

[1,4,5,44]

L. rhamnosus GG (ATCC 53013)

Treatment and reduction in the risk of rotavirus diarrhea Prevention of antibiotic associated diarrhea Treatment of relapsing C. difficile diarrhea Alleviation of atopic aczema in infants Prevention of atopic diseases Reduction in cystic fibrosis symptoms Enhancement of Bifidobacteria microbiota Reduction in Streptococcus mutans activity (caries risk reduction)

[4,5,7,12,21,35,37]

L. acidophilus NFCM

Lowering of fecal enzyme activity High lactase activity, treatment of lactose intolerance, production of bacteriocins

[4,5]

L. casei Shirota

Prevention of intestinal disturbances Balancing intestinal bacteria Lowering fecal enzyme activities, positive effects on reducing the recurrence of superficial bladder cancer Reduction in the risk of bladder cancer

[1,4,5,12,21]

S. thermophilus, L. bulgaricus

No effect on rotavirus diarrhea No immune enhancing effect during rotavirus diarrhea No effect on fecal enzymes Strain-dependent improvement of lactose intolerance symptoms

[4]

L. acidophilus La-5

Balancing intestinal microbiota, protection against [4] traveler’s diarrhea, immune enhancement

Bifidobacterium lactis Bb-12

Treatment of viral diarrhea including rotavirus diarrhea

[4,7,21,33], Saavedra et al., 1996

Balancing intestinal microbiota Reduction in the risk of traveler’s diarrhea Treatment of symptoms of food allergy in infants Lactobacillus gasseri (ADH)

Fecal enzyme reduction, survival in the intestinal tract

[4,5]

(continued )

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Hoang-Dung TRAN and friends Table 3 Continued Selected reviews with further references

Strain

Reported effects in clinical studies

Lactobacillus reuteri

Colonizing the intestinal tract, shortening of rotavirus diarrhea, balancing intestinal microbiota

[4,12,21,22]

Lactobacillus rhamnosus Lactobacillus rhamnosus DR 10

Immune enhancement, intestinal microbiota effects

[5]

Immune enhancement, adherence to mucosa, microbiota effects, improvement of the elderly condition

[5,55– 57]

Bifidobacterium lactis HN019

Immune enhancement, balancing intestinal microbiota

[5,55– 57]

Probiotic combination (VSL 3)

Positive effect in inflammatory bowel disease and irritable bowel syndrome; treatment and prevention of pouchitis, prevention and alleviation of radiotherapy associated diarrhea

[45,46,50], Rembacken et al., 2001, Kim et al., 2002

Escherichia coli NISSLE

Positive effect in inflammatory bowel disease

[50], Rembacken et al., 2001

Probiotic mix VSL 3 (L. bulgaricus, L. plantarum, S. thermophilus, B. longum, B. infantis, and B. breve)

Positive effect in irritable bowel disease in adults

[40]

S. boulardii (often registered as a pharmaceutical not in foods)

Prevention of antibiotic-associated diarrhea, treatment of C. difficile colitis, alleviation of antibiotic-associated diarrhea

[21]

V.

SCIENTIFICALLY PROVEN EFFECTS

A.

Lactose Intolerance

There is convincing evidence from several studies that lactose-intolerant individuals suffer fewer symptoms if milk in the diet is replaced with fermented dairy products. The reduced levels of lactose in fermented products, due to partial hydrolysis of lactose during fermentation may contribute to the greater tolerance of yogurt. The mechanisms of action of lactic acid bacteria (LAB) and fermented dairy products include the following: lower lactose concentration in the fermented product, high lactase activity of bacterial preparations used in the production, and increased active lactase enzyme entering the small intestine with the fermented product or within the viable bacteria able to survive gastric and bile conditions. The bacterial enzyme b-galactosidase, which can be detected in duodenum and terminal ileum after consumption of viable yogurt, is thought to be the major factor that improves digestibility by the hydrolysis of lactose, mainly in the terminal ileum.

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Hoang-Dung TRAN and friends Another factor suggested to influence lactose digestion is the slower gastric emptying of semi-solid milk products such as yogurt. It is important to assess the b-galactosidase activity of probiotic strains and other LAB used in dairy products. b-Galactosidase activity within probiotics varies significantly from practically nil (e.g., Lactobacillus GG) to very high.[4] Thus, both the enzyme activity of the probiotic strain and the activity left in the final product are important for their use in lactose intolerant subjects. In conclusion, there is good scientific evidence on the alleviation of lactose intolerance symptoms by specific probiotic lactic acid bacteria. However, the strain-specific lactase activities may vary over 100-fold. Thus, different products may have varying lactose contents, and the strains, when released to the duodenum, vary in their lactase activity.[4] Therefore, not all fermented milks are equal in lactose content and microbial lactase activity, and the health effects for lactose-intolerant subjects must be assessed on a case-by-case basis.

B.

Rotavirus Diarrhea

Lactobacillus GG has been reported effective in the treatment of rotavirus diarrhea.[17,18] It reduces the duration of diarrhea in about half in children with rotavirus diarrhea. It has also been reported to be effective in the treatment of watery diarrhea in several studies in Asia, with favorable results on colonization.[19] When different LAB were compared for their effects on the immune response to rotavirus in children with acute rotavirus gastroenteritis, differences between various strains were observed. Serum antibodies to rotavirus, total number of immunoglobulin-secreting cells (ISC), and specific antibody-secreting cells (sASC) to rotavirus were measured at the acute stage and at convalescence. Treatment with Lactobacillus GG was associated with an enhancement of IgA sASC to rotavirus and serum IgA antibody level at convalescence.[20] It was therefore suggested that certain strains of LAB promote systemic and local immune response to rotavirus, which may be of importance for protective immunity against reinfections. (For reviews on rotavirus diarrhea, see Refs.[1,4,5,7,12].) The effects of viable and heat-inactivated LAB have been compared in a blinded randomized clinical study. Lactobacillus GG administered as a viable preparation during acute rotavirus gastroenteritis resulted in a significant rotavirus-specific IgA response at convalescence. Heat-inactivated Lactobacillus GG was clinically as efficient, but the IgA response was not detected. This suggests that viability of the strain is critical in determining the capacity of LAB to induce immune stimulation. Also, in a study with different preparations of LAB using the recommended doses (1.25 g of freeze-dried preparation twice daily for 5 days) in the treatment of rotavirus diarrhea, it was shown that Lactobacillus GG (cell concentration 5  109 CFU/g) was most effective, while a preparation containing a mixture of Streptococcus thermophilus (95%) and Lactobacillus bulgaricus (4%) or L. rhamnosus (1%) (2.8  108 CFU/g) or a preparation containing L. rhamnosus (2.2  108 CFU/g) did not have a clinical effect on the duration of diarrhea. It has also been reported that L. reuteri effectively shortened the duration of watery diarrhea associated with rotavirus (for review, see Refs.[4,12,21]). Shortened duration of rotavirus diarrhea using Lactobacillus GG is perhaps the bestdocumented probiotic effect. It has been well documented in several studies around the world and in a recent multicenter study in Europe.[18,19]. There are also several studies using heat-inactivated Lactobacillus acidophilus LB1 and viable Bifidobacterium lactis

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Hoang-Dung TRAN and friends Bb-12 and two studies on Lactobacillus reuterii reporting shortened duration of rotavirus diarrhea in children.[22] As with other documented effects, it is important to remember that the reported studies are specific to the strains used.

C.

Antibiotic-Associated Diarrhea

Antibiotic-associated diarrhea has been prevented by Lactobacillus GG in a yogurt form using a dose of two cups of yogurt daily with about 107 CFU/mL for adult subjects[23] or as a freeze-dried product using doses varying from 109 to 1010 CFU/day, with two separate large studies confirming the results in children.[24,25] Thus, it can be concluded that Lactobacillus GG is efficient in reducing the risk of antibiotic-associated diarrhea in children. Black and coworkers[26] reported a double-blind study using 20 healthy volunteers treated with 500 mg of ampicillin divided into two groups. Half of the volunteers received 4  109 CFU live lyophilized Bifidobacterium lactis and L. acidophilus La5. The volunteers receiving lactic acid bacteria were recolonized faster than those receiving placebo and harbored higher counts when compared to the controls. There are also good clinical studies showing the efficacy of Saccharomyces boulardii in the treatment of antibioticassociated diarrhea, and this strain has been approved for pharmaceutical use in some countries, but it is currently not used in foods. Several other LAB strains are currently assessed for their effects in antibiotic-associated diarrhea around the world.

VI.

NEED FOR FURTHER ASSESSMENT

A.

Allergic Diseases

Reports on the prevalence of atopic diseases (e.g. atopic eczema, allergic rhinoconjunctivitis, and asthma) indicate that such diseases have steadily increased in the industrialized world. Different probiotic Lactobacillus and Bifidobacterium strains appear to induce distinct and even opposing responses in various models and human studies.[27] However, bifidobacteria appear interesting for microbiota aberrancies related to allergies in infants.[28,29] The microbiota appears to have a crucial role in allergic diseases. In one prospective study, the intestinal microbiota from 76 infants at high risk of atopic diseases was analyzed at 3 weeks of age by conventional bacterial cultivation and two culture-independent methods.[30,31] Positive skin prick reaction at 12 months was observed in 29% of subjects. At 3 weeks of age, the bacterial cellular fatty acid profile in fecal samples differed between those infants later developing atopic sensitization and those not developing atopy. Fluorescence in situ hydridization was used to show that atopic subjects have more Clostridium species and fewer Bifidobacterium species in stools compared with nonatopic subjects. Differences in the gut microbiota were suggested to precede the manifestations of atopic disease. This finding was confirmed later in Sweden and Japan, suggesting that microbiota could be a target for prevention studies with probiotics. Pioneering studies in Finland reported improvement in the clinical course of atopic eczema and cows milk allergy in infants receiving probiotic-supplemented extensively hydrolyzed formula compared to placebo-supplemented formula.[32,33] Similar results have been reported in Japan and in Finland in milk-hypersensitive adults.[34] In these subjects a milk challenge in conjunction with a probiotic strain prevented the immunoinflammatory response characteristic of the response without probiotics.

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Hoang-Dung TRAN and friends The preventative potential of probiotics in atopic diseases has been demonstrated in a double-blind, placebo-controlled study.[30,31,35,36] In the first clinical demonstration of probiotics administered pre- and postnatally for 6 months to children at high risk of atopic diseases, the prevalence of atopic eczema was reduced by half compared with infants receiving placebo.[30,31,35,37] An important clinical result was reported after 4-year follow-up, indicating that the effect on risk reduction extends beyond infancy.[29,37]. Additional studies addressing the role of probiotics in the prevention of atopic disease are definitely needed and well warranted based on these first demonstrations. This study reported on both the safety and efficacy of probiotics in allergy prevention, laying the groundwork for future clinical studies. These demonstrations, along with the detection of microbiota aberrancies, can form the basis for designing future functional probiotics for subjects suffering from allergic diseases or at risk of developing allergic diseases.[38]

B.

Probiotics, Intestinal Microbiota, and Cancer

A number of studies have focused on the effect of probiotics on intestinal microeclogy and cancer. Lactobacillus acidophilus, Lactobacillus casei Shirota strain, and Lactobacillus GG have been shown to have inhibitory properties on chemically induced tumors in animals.[12,21] Other studies indicate that specific strains of probiotic bacteria may be able downregulate intestinal microbial enzyme activities.[21] This phenomenon may then decrease carcinogen-activating microbial enzymes and has a beneficial effect in the colon, the urinary tract, and the bladder. However, further studies, especially human studies, are needed in this area. Reports on the benefits of oral administration of probiotic cultured milks and lactic acid bacteria on tumors have been connected with changes related to tumor induction and promotion. The following mechanisms have been indicated in various studies relating lactic acid bacteria intake and cancer: 1. 2. 3. 4. 5.

Alteration in intestinal microecology (beneficial microbiota effects) Altered intestinal metabolic activity (decreased conversion of precarcinogens to carcinogens) Normalized intestinal permeability (prevention or delaying of toxin absorption) Enhanced intestinal immunity (enhanced resistance to chemicals, inflammation, and other factors) Strengthened intestinal barrier mechanisms (include some or all of 1 –4)

At present, several studies have been reported on cancer and intestinal microecology – related aspects, but the results have not been conclusive and human studies have been missing. The most convincing reports have been published on Lactobacillus casei Shirota (Fig. 1). There are several mechanistic studies on the effects of the strain reporting decreased urinary mutagen excretion. Other mechanisms have been assessed in both experimental animals and human subjects. Following the mechanistic studies on decreased urinary mutagen excretion, human clinical studies have been conducted using Lactobacillus casei Shirota. In one clinical study and another larger multicenter study the prophylactic effects of oral administration of Lactobacillus casei Shirota on the recurrence of superficial bladder cancer have been reported in Japan.[39] Recently, a large Japanese case-control study on the habitual intake of lactic acid bacteria and risk reduction of bladder cancer has been conducted in the specific setting of home delivery of the product. This study suggested that the habitual intake of fermented milk with the strain reduces the

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Figure 1

The rationale for specific probiotics (Lactobacillus casei shirota and Lactobacillus rhamnosus GG) to influence development of events leading to bladder cancer with consequent risk reduction potential.

risk of bladder cancer in the Japanese population. This result combined with mechanistic work and human studies warrants further investigation in other countries. C.

Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) has been extensively studied and probiotic products have been assessed as a means of nutritional management of the disease. Among others, S. faecium preparations have been evaluated for treatment of IBS patients whose symptoms had been present for an average of 7 years. Although patient-recorded symptoms did not differ significantly in the placebo or S. faecium groups, the physician’s subjective clinical evaluation of symptoms revealed an significant improvement in the treated group. In more recent studies, reduction of symptoms has been reported with a Lactobacillus plantarum preparation. Another study by Brigidi[40] with reported symptom reduction used a probiotic mix VSL-3 (L. bulgaricus, L. plantarum, S. thermophilus, B. longum, B. infantis, and B. breve), and further documentation of symptom relief, including reduction in abdominal bloating in diarrhea-prone IBS patients, was provided by Kim and coworkers.[41] No

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Hoang-Dung TRAN and friends reduction in symptoms was reported with Lactobacillus GG.[42] There is a rationale for investigating the effect of lactic acid bacteria and cultured milks in the treatment of this common disorder, where intestinal motility and dysfunctions in the intestinal microflora are important factors to consider. Current reports have not clearly proven the benefits, and the strains with the most reported success need to be assessed further. Further human studies with both probiotic bacteria and cultured milks are ongoing in Europe and may provide future strategies for dietary management of this disease.

D.

Pouchitis

A probiotic mix has also been used for the alleviation of symptoms of pouchitis. The efficacy of a concentrated probiotic preparation (VSL#3) in the prevention of flare-up in patients with chronic pouchitis was recently documented.[43] More recently it has been demonstrated that administration of VSL#3 is effective in the prevention of the onset of acute pouchitis and improves the quality of life of patients with ileal pouch – anal anastomosis. E.

Radiotherapy Associated Diarrhea

In early reports, Lactobacillus acidophilus and other LAB have had a positive effect on radiotherapy-induced diarrhea.[44] There has been renewed interest in the nutritional management of this disorder, and promising new results have been reported using the probiotic mix VSL#3.[45,46] Clearly, when the intestinal microbiota aberrancies in this type of diarrhea are identified as targets for probiotic treatment, more specific species or species combinations can be administered to prevent the diarrhea or to alleviate symptoms. F.

Inflammatory Bowel Disease

Inflammatory bowl disease (IBD) is a term usually covering two related conditions: ulcerative colitis (UC) and Crohn’s disease. Both are chronic inflammatory conditions of the intestinal tract which are common in the western world. Symptoms vary from persistent diarrhea to constipation, and the symptoms have been the target of probiotic trials. An increasing number of clinical and experimental studies demonstrate the importance of intestinal microbiota in these diseases. Probiotic bacteria may counteract the inflammatory process by stabilizing the gut microbial environment and the intestine’s permeability barrier and by stimulating the microbiota, enhancing the degradation of enteral antigens and altering their absorption and immunogenicity. It is apparent that probiotics can be useful in the dietary management of some forms of IBD, but they do not replace pharmaceutical treatment. The basis for probiotic treatment has been summarized by Shanahan[47]. Several studies using Lactobacillus GG, Lactobacillus salivarius UCC118, or E. coli Nissle 1917 have reported benefits in reduced use of pharmaceuticals, improved quality of life, and reduced relapses.[48 – 50] In adults operated upon for the condition, however, Lactobacillus GG failed to prevent recurrence during one year of follow-up.[51] A recent study provides evidence for successful treatment with a nonpathogenic, potentially probiotic strain of E. coli in maintaining remission in ulcerative colitis.[52] Studies with E coli have been promising, and further assessment of the preparation is underway. It is important to characterize the intestinal microbiota aberrancies (both intestinal content and mucosal microbiota) and conduct more human studies to define the effects

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Hoang-Dung TRAN and friends of specific probiotic strains on each form of inflammatory bowel disease. The potential of several probiotic strains clearly warrant assessment.

G.

Traveler’s Diarrhea

Several studies on the prevention of traveler’s diarrhea show positive outcome for Lactobacillus GG and a combination of Lactobacillus acidophilus LA5 with Bifidobacterium lactis Bb-12 (for review, see Refs.[1,4,21]). These studies show some indications of beneficial effects, and some studies reported no effects, but information from large human studies using defined strains on traveler’s diarrhea is still largely lacking. The current data on traveler’s diarrhea does not show consistent scientifically proven effects for any strains used (Table 4). Thus, further human studies with known bacterial etiology diarrhea should be conducted to verify the earlier results.

Table 4

The Efficacy of Prophylactic Lactobacillus, Bifidobacterium, and Enterococcus Preparation in Preventing Traveler’s Diarrhea (TD) Preparation

Lactobacillus a 2  109 Placebo S. faecium SF 68 1.5  107 Placebo 1  109 Placebo Lactobacillus GGb 109 cfu/day Placebo Lactobacillus GGc 109 cfu/day Placebo Probiotic mixd 109 cfu/day Placebo Lactobacillus GGe 2  109 cfu/d Placebo L. fermentum KLDf 1011 cfu/day L. acidophilus (LA) 1011 cfu/day Placebo

No. of cases

TD present

TD absent

Protection rate

154 165

82 78

72 87

n.s. n.s.

672 652 401 419

234 248 188 210

438 404 213 209

n.s. n.s. n.s. n.s.

153 178

68 74

85 104

8.0 n.s.

71 75

17 30

54 45

39.5 ( p , 0.05)

40 41

17 29

23 12

39.4 ( p , 0.05)

245

na

na

( p , 0.05) 47 %

80

19

64

n.s.

101 101

26 24

75 77

n.s.

a

Austrian tourists (Kollaritsch and Wiedermann, 1990). Marmaris/1 week (Oksanen et al., 1990). c Alanya/1 week (Oksanen et al., 1990). d Egypt (Black et al., 1989). e American tourists (Hilton et al., 1996). f British soldiers (Katalaris et al., 1995). b

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H.

Helicobacter pylori

Specific strains of LAB have been reported to inhibit many intestinal pathogens including Helicobacter pylori. Lactic acid bacteria are often able to survive the acidic gastric conditions, and therefore it has been proposed that they may have a beneficial influence during the eradication of Helicobacter pylori, which is involved in the process of gastric ulcer development. It has been reported that both the inhibitory substances and the specific strains may influence the survival of Helicobacter, and studies have been conducted especially with Lactobacillus johnsonii. It has been shown that there is good in vitro inhibition and that fermented milk containing the strain has a positive effect when consumed during Helicobacter eradication therapy.[53] However, more controlled human studies conducted in different populations need be conducted to verify this effect. VII.

FUTURE CHALLENGES

There is a need to further develop and conduct clinical studies with probiotic bacteria since only a few of the claimed effects are hypothesis-based and backed by good clinical studies. It is important to make sure that the nutritional and human studies are well defined and planned. Each strain and product should be documented and tested independently, since extrapolation of data from closely related strains is not acceptable. Table 3 contains suggestions for scientific documentation of health effects in human studies. The most important task in formulating probiotic preparations is to carefully identify the targets for which they are used. Second, the preparations for each target should be specifically identified, as each probiotic has a distinct property profile and may be effective in one target and not in

Figure 2

Suggested areas for consideration when selecting new target-specific probiotics for

human use.

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Hoang-Dung TRAN and friends Requirements for Nutritional and Clinicala Studies of Functional Foods and Probiotic Foods with Health Claims

Table 5

Strains clearly identified and stored in accessible culture collections Strain characteristics clearly documented Each strain documented and tested independently Extrapolation of data from closely related strains not acceptable Well-defined probiotic strains, well-defined study products, well-defined study populations Double-blind, placebo-controlled and randomized human studies Results confirmed by several independent research groupsb Publication in peer-reviewed journals a

Clinical studies conducted according to the good clinical practice in human subjects Clinical results should be confirmed by several independent—at least two—research groups

b

another. This may require revising the current selection criteria for probiotics to select for target and site-specific future strains for particular uses to improve human health and wellbeing.[64,65] The tasks involved in new and novel selection criteria are described in Figure 2. Protocols for human nutrition studies need to be developed for probiotics and functional foods. It is clear that the requirements set by ILSI Europe working groups form the minimum basis for assessment of clinical efficacy of probiotics in humans.[1,2] In some cases postmarketing surveillance studies on intakes and long-term effects are desirable. Such studies have also been used for the safety assessment of current probiotics. The design of clinical studies used in pharmaceutical development should serve as a reference point, but specific protocols and specific criteria relevant to functional foods may also be needed. It is necessary to identify specific target groups consisting of individuals who may present higher/lower susceptibilities to potential adverse effects. It is important to clarify the long-term consequences of the interactions between functional food components and functions in the human gastrointestinal tract. The interactions between probiotic components, other food materials, and pharmaceutical preparations must be carefully monitored (Table 5).

REFERENCES 1.

Salminen, S.; Bouley, M.C.; Boutron-Rualt, M.C.; Cummings, J.; Franck, A.; Gibson, G.; Isolauri E.; Moreau, M-C.; Roberfroid, M.; Rowland, I. Functional food science and gastrointestinal physiology and function. Br. J. Nutr. 1998, (suppl 1), 147 – 171. 2. Diplock, A.T.; Aggett, P.; Ashwell, M.; Bornet, F.; Fern, E.; Roberfroid, M. Scientific concepts of functional foods in Europe: consensus document. Br. J. Nutr. 1999, 81 (suppl 1), S1– S27. 3. Salminen, S.; Ouwehand, A.; Benno, Y.; Lee, Y-K. Probiotics: how should they be defined? Trends Food Sci. Technol. 1999, 10, 1 –4. 4. Fonden, R.; Mogensen, G.; Tanaka, R.; Salminen, S. Culture-containing dairy products—effect on intestinal microflora, human nutrition and health—current knowledge and future perspectives. Bull. Int. Dairy Fed. 2000, 352. 5. Ouwehand, A.; Bianchi Salvadori, B.; Fonde´n, R.; Mogensen, G.; Salminen, S.; Sellars, R.; Tanaka, R. Health effects of probiotics. Bull. IDF 2003, in press.

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Ouwehand, A.C.; Kirjavainen, P.V., Shortt, C.; Salminen, S. Probiotics: mechanisms and established effects. Int. Dairy J. 1999, 9, 43 –52. Isolauri, E.; Kirjavainen, P.V.; Salminen, S. Probiotics—a role in the treatment of intestinal infection and inflammation? Gut. 2002, 50 (suppl III), iii54 – 59. Guarner, F.; Malagelada, JR. Gut flora in health and disease. Lancet 2003, 361, 512 – 519. Huang, J.S.; Bousvaros, A.; Lee, J.W.; Diaz, A.; Davidson, EJ. Efficacy of probiotic use in acute diarrhea in children: a meta-analysis. Dig. Dis. Sci. 2002, 47, 2625– 2634. Van Niel, C.W.; Fewudtner, C.; Garrison, M.M.; Christakis, DA. Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis. Pediatrics 2002, 109, 678 – 684. Szajewska, H.; Mrukowicz, JZ. Probiotics in the treatment and prevention of acute infectious diarrhea in infants and children: a systematic review of published randomized, double-blind, placebo-controlled trials. J. Pediatr. Gastroenterol. Nutr. 2001, 33, S17– 25. De Roos, N.; Katan, M. Effects of probiotic bacteria on diarrhea, lipid metabolism, and carcinogenesis: a review of papers published between 1988 and 1998. Am. J. Clin. Nutr. 2000, 71, 405– 411. Rhoads, M. Management of acute diarrhea in infants. J. Parenter. Enteral. Nutr. 1999, 23, S18–19. Gremonini, F.; Caro, S.; Nista, E.C.; Bartolozzi, F.; Capelli, G.; Gasbarrini, G.; Gasbarrini, A. Meta-analysis: the effects of probiotic administration on antibiotic associated diarrhoea: Aliment Pharmacol. Ther. 2002, 16, 1461– 1467. D’Souza, A.L.; Rajkumar, C.; Cooke, J.; Bulpitt, CJ. Probiotics in the prevention of antibiotic associated diarrhoea: meta-analysis. Br. Med. J. 2002, 324, 1361. Agerholm-Larsen, L.; Bell, M.L.; Grunwald, G.K.; Astrup A. The effect of a probiotic milk product on plasma cholesterol: a meta-analysis of short term intervention studies: Eur. J. Clin. Nutr. 2000, 54, 856–860. Isolauri, E.; Juntunen, M.; Rautanen, T.; et al. A human Lactobacillus strain (Lactobacillus GG) promotes recovery from acute diarrhea in children. Pediatrics 1991, 88, 90 – 97. Guandalini, S.; Pensabene, L.; Zikri, M.A.; Dias, J. et al. Lactobacillus GG administered in oral rehydration solution to children with acute diarrhea: a multicenter European trial. J. Pediatr. Gastroenterol. Nutr. 2000, 30, 54– 60. Pant, A.R.; Graham, S.M.; Allen, S.J.; et al. Lactobacillus GG and acute diarrhoea in young children in the tropics. J. Trop. Ped. 1996, 42, 162 – 165. Kaila, M.; Isolauri, E.; Soppi, E.; et al. Enhancement of the circulating antibody secreting cell response in human diarrhea by a human lactobacillus strain. Pediatr. Res. 1992, 32, 141 – 144. McFarland, L. A review of the evidence of health claims for biotherapeutic agents. Microb. Ecol. Health Dis. 2000, 12, 65– 76. Shornikova, A.-V., Casas, I., Mykka¨nen, H., Salo, E.; Vesikari, T. Bacteriotherapy with Lactobacillus reuteri in rotavirus gastroenteritis. Pediatr. Infect. Dis. J. 1997, 16, 1103– 1107. Siitonen, S.; Vapaatalo, H.; Salminen, S.; Gordin, A.; Saxelin, M.; Wikberg, R.; Kirkkola, A-M. Effect of Lactobacillus GG yoghurt in prevention of antibiotic associated diarrhea. Ann. Med. 1990, 22, 57– 60. Arvola, T.; Laiho, K.; Torkkeli, S.; Mykka¨nen, H.; Salminen, S.; Maunula, I.; Isolauri E. Prophylactic Lactobacillus GG reduces antibiotic-associated diarrhea in children with respiratory infections: a randomized study. Pediatrics 1999, 104, 64. Vanderhoof, J.; Whitney, D.; Antonson, D.; Hanner, T.; Lupo, J.; Young, R. Lactobacillus GG in the prevention of antibiotic associated diarrhea in children. J. Pediatr. 1999, 135, 564 – 568. Black, F.T., Einarsson, K., Lidbeck, A., Orrhage, K.; Nord, C. Effects of lactic acid producing bacteria on the human intestinal microflora during ampicillin treatment. Scand. J. Infect. Dis. 1991, 23, 247– 254. He, F.; Morita, H.; Hashimoto, H.; et al. Intestinal Bifidobacterium species induce varying cytokine production. J. Allergy Clin. Immunol. 2002, 109, 1035– 1036. Kirjavainen, P.V.; Arvola, T.; Salminen, S.J.; Isolauri, E. Aberrant composition of gut microbiota of allergic infants: a target of bifidobacterial therapy at weaning? Gut 2002, 51, 51 – 55.

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35.

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Isolauri, E.; Rautava, S.; Kalliomaki, M.; Kirjavainen, P.; Salminen, S. Role of probiotics in food hypersensitivity. Curr. Opin. Allergy Clin. Immunol. 2002, 263 – 271. Kallioma¨ki, M.; Kirjavainen, P.; Eerola, E.; et al. Distinct patterns of neonatal gut microflora in infants in whom atopy was and was not developing. J. Allergy Clin. Immunol. 2001, 107, 129–134. Kallioma¨ki, M.; Salminen, S.; Kero, P.; et al. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet 2001, 357, 1076– 1079. Majamaa, H.; Isolauri, E. Probiotics: a novel approach in the management of food allergy. J. Allergy Clin. Immunol. 1997, 99, 179 – 186. Isolauri, E.; Arvola, T.; Su¨tas, Y.; Moilanen, E.; Salminen, S. Probiotics in the management of atopic eczema. Clin. Exp. Allergy 2000, 30, 1604– 1610. Pelto, L.; Isolauri, E.; Lilius, E.M.; et al. Probiotic bacteria downregulate the milk-induced inflammatory response in milk-hypersensitive subjects but have an immunostimulatory effect in healthy subjects. Clin. Exp. Allergy 1998, 28, 1474– 1479. Hattori, K.; Yamamoto, A.; Sadai, M.; Taniuchi, S.; Kojima, T.; Kobayashi, Y.; Iwamoto, H.; Namba, K.; Yaeshima, T. Effects of administration of bifidobacteria on fecal microflora and clinical symptoms in infants with atopic dermatitis. Arerugi. 2003, 52, 20–30. Rautava, S.; Kalliomaki, M.; Isolauri, E. Probiotics during pregnancy and breast-feeding might confer immunomodulatory protection against atopic disease in the infant. J. Allergy Clin. Immunol. 2002, 109, 119– 121. Kallioma¨ki, M.; Salminen, S.; Poussa, T.; Arvilommi, H.; Isolauri, E. Probiotics and prevention of atopic disease—a 4-year follow-up of a randomised placebo-controlled trial. Lancet 2003, 361, 1869– 1871. Laiho, K.; Ouwehand, A.; Salminen, S.; Isolauri, E. Inventing probiotic functional foods for patients with allergic disease. Ann. Allergy Asthma Immunol. 2002, 6 (suppl 1), 75 – 82. Aso, Y.; Akaza, H.; Kotake, T.; Tsukamoto, T.; Imai, K.; Naito, S. Preventive effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer in a doubleblind trial. Eur. Urol. 1995, 27, 104– 109. Brigidi, P.; Vitali, B.; Swennen, E.; Bazzocchi, G.; Matteuzzi, D. Effects of probiotic administration upon the composition and enzymatic activity of human fecal microbiota in patients with irritable bowel syndrome or functional diarrhea. Res. Microbiol. 2001, 152, 735 – 741. Kim, H.J.; Camilleri, M.; McKinzie, S.; Lempke, M.B.; Burton, D.D.; Thomforde, G.M.; Zinsmeister, A.R. A randomized controlled trial of a probiotic, VSL#3, on gut transit and symptoms in diarrhoea-predominant irritable bowel syndrome. Aliment Pharmacol. Ther. 2003, 17, 895–904. O’Sullivan, M.A.; O’Morain, C.A. Bacterial supplementation in the irritable bowel syndrome. A randomised double-blind placebo-controlled crossover study. Dog Liver Dis. 2000, 32, 294–301. Gionchetti, P.; Rizzello, F.; Helwig, U.; Venturi, A.; Lammers, K.M.; Brigidi, P.; Vitali, B.; Poggioli, G.; Miglioli, M.; Campieri, M. Prophylaxis of pouchitis onset with probiotic therapy: a double-blind, placebo-controlled trial. Gastroenterology 2003, 124, 1202– 1209. Salminen, E.; Elomaa, I.; Minkkinen, J.; Vapaatalo, H.; Salminen, S. Preservation of intestinal integrity during radiotherapy using live Lactobacillus acidophilus cultures. Clin. Radiol. 1988, 39, 435– 437. Delia, P.; Sansotta, G.; Donato, V.; Messina, G.; Frosina, P.; Pergolizzi, S.; De Renzis, C.; Famularo, G. Prevention of radiation-induced diarrhea with the use of VSL#3, a new highpotency probiotic preparation. Am. J. Gastroenterol. 2002, 97, 2150– 2152. Delia, P.; Sansotta, G.; Donato, V.; Messina, G.; Frosina, P.; Pergolizzi, S.; De Renzis, C. Prophylaxis of diarrhoea in patients submitted to radiotherapeutic treatment on pelvic district: personal experience. Dig. Liver. Dis. 2002, 34 (suppl 2), S84– 86. Shanahan, F. Probiotics and inflammatory bowel disease: is there a scientific rational? Inflammatory bowel diseases. 2000, 6, 107 – 115.

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Gupta, P.; Andrew, H.; Kirschner, B.S.; Guandalini, S. Is Lactobacillus GG helpful in children with Crohn’s disease? Results of a preliminary, open-label study. J. Pediatr. Gastroenterol. Nutr. 2000, 31, 453– 457. Saarela, M.; La¨hteenmaki, L.; Crittenden, R.; Salminen, S.; Mattila-Sandholm, T. Gut bacteria and health foods—the European perspective. Int. J. Food Microbiol. 2002, 78, 99 – 11. Malchow, HA. Crohn’s disease and Escherichia coli. A new approach in therapy to maintain remission of colonic Crohn’s disease? J. Clin. Gastroenterol. 1997, 25, 653 – 658. Prantera, C.; Scribano, M.L.; Falasco, G.; et al. Ineffectiveness of probiotics in preventing recurrence after curative resection for Crohn’s disease: a randomised controlled trial with Lactobacillus GG. Gut 2002, 51, 405 – 409. Rembacken, B.J.; Snelling, A.M.; Hawkey, P.M.; et al. Non-pathogenic Escherichia coli versus mesalazine for the treatment of ulcerative colitis: a randomised trial. Lancet 1999, 354, 635– 639. Mitchetti, P.; Dorta, G.; Wiesel, P.; Brassart, D.; Wedu, E.; Herman, M.; Felley, C.; Porta, N.; Rouvet, M.; Blum, A.; Corthesy-Theulan, I. Efect of whey based supernatant of Lactobacillus acidophilus ( johnsonii) La1 on Helicobacter pylori infection in humans. Digestion 1999, 60, 203– 209. Gill, H.S.; Darragh, A.J.; Cross, ML. Optimizing immunity and gut function in the elderly. J. Nutr. Health. Aging. 2001, 5, 80 – 91. Gill, H.S.; Rutherfurd, K.J.; Cross, ML. Dietary probiotic supplementation enhances natural killer cell activity in the elderly: an investigation of age-related immunological changes. J. Clin. Immunol. 2001, 21, 264– 271. Gill, H.S.; Rutherfurd, K.J.; Cross, M.L.; Gopal, PK. Enhancement of immunity in the elderly by dietary supplementation with the probiotic Bifidobacterium lactis HN019. Am. J. Clin. Nutr. 2001, 74, 833– 839. Aso, Y.; Akazan, H. Prophylactic effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer. Urol. Int. 1992, 49, 125 – 129. Isolauri, E.; Kaila, M.; Mykka¨nen, H.; Ling, W.H.; Salminen, S. Oral bacteriotherapy for viral gastroenteritis. Dig. Dis. Sci. 1994, 39, 2595–2600. Kirjavainen, P.; Apostolou, E.; Salminen, S.; Isolauri, E. New approaches of probiotics—a novel approach in the management of food allergy. Allergy 1999, 54, 909 – 915. Lee, Y.K.; Lim, C.Y.; Teng, W.L.; Ouwehand, A.C.; Tuomola, E.; Salminen, S. Qualitative approach in the study of adhesion of lactic acid bacteria on intestinal cells and their competition with enterobacteria. Appl. Environm. Micr. 2000, 66 (9), 3692– 3697. Lim, B.K.; Mahendran, R.; Lee, Y.K.; Bay, BH. Chemopreventive effect of Lactobacillus rhamnosus on growth of a subcutaneously implanted bladder cancer cell line in the mouse. Jpn. J. Cancer Res. 2002, 93, 36–41. Ohashi, Y.; Nakai, S.; Tsukamoto, T.; Masumori, N.; Akaza, H.; Miyanaga, N.; Kitamura, T.; Kawabe, K.; Kotake, T.; Kuroda, M.; Naito, S.; Koga, H.; Saito, Y.; Nomata, K.; Kitagawa, M.; Aso, Y. Habitual intake of lactic acid bacteria and risk reduction of bladder cancer. Urol Int. 2002, 68, 273–280. Seow, S.W.; Rahmat, J.N.; Mohamed, A.A.; Mahendran, R.; Lee, Y.K.; Bay, BH. Lactobacillus species is more cytotoxic to human bladder cancer cells than Mycobacterium bovis (bacillus Calmette-Guerin). J. Urol. 2002, 168, 2236– 2239. Isolauri, E.; Salminen, S.; Ouwehand, A.C. Microbialgut interactions in health and disease. Probiotics. Best Pract Res Clin Gastroenterol. 2004, 18, 299–313.

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Hoang-Dung TRAN and friends

19 Safety of Novel Probiotic Bacteria DIANA C. DONOHUE RMIT University, Melbourne, Australia

I.

PROBIOTICS PAST AND FUTURE

Maintenance of normal intestinal flora and improved digestion are benefits generally ascribed to existing probiotics. Different bacterial strains are being investigated for their therapeutic potential to treat inflammatory bowel disease, inhibit pathogenic bacteria, ameliorate diarrhea of various etiologies, prevent dental caries, and reduce allergy. It is postulated that probiotic bacteria have a role in immune modulation and suppression of carcinogenesis. While research has concentrated on probiotics to modulate intestinal flora, recent studies have sought to restore the vaginal and urinary ecology, either indirectly after ingestion or by topical application.[1] Probiotic organisms are commonly from the genera Lactobacillus and Bifidobacterium, strains of Enterococcus and Saccharomyces species being among the exceptions. Members of these genera are generally regarded as safe because they have a long history of use as dairy starters, which, unlike probiotics, are not specifically adapted to survive in the gastrointestinal tract. They have rarely been associated with disease, usually as opportunistic infections in people with predisposing conditions.[2,3] Many of the organisms to which we ascribe probiotic effects have had their origins in dairy products and the manufacture of fermented foods. Thus they have been consumed as constituents of these products for centuries with no apparent adverse effects. Probiotics consumed in foods and dietary supplements are accorded a generally recognized as safe status (GRAS) and do not have to comply with more rigorous guidelines for probiotics, which claim amelioration or prevention of disease in clinical applications. “History of safe use” as a criterion for the safety of food organisms is an arbitrary classification, and food organisms claiming this status have not been defined previously. To redress this, the International Dairy Federation and the European Food and Feed Cultures Association have jointly initiated a referenced inventory of microorganisms with 531 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

532

Donohue

Hoang-Dung TRAN and friends a documented history of use in food manufacture, i.e., starter cultures.[4,5] The inventory lists taxonomy and applications for lactic acid bacteria, Enterococcus and Streptococcus species, yeasts, and molds. It is an evolving document that will be modified as candidate organisms are identified, added, removed, or reclassified with changes in taxonomy. This initiative is a systematic attempt to catalogue organisms that may reasonably be expected to be safe because of their consumption in foods without apparent ill effect. It provides a basis for genera, species, and strains to be identified as safe and a potential source of new probiotic organisms. New species and more specific strains of probiotic bacteria are constantly being sought for novel probiotic products. The safety status of novel organisms intended for probiotic use cannot be assumed. Prior to the incorporation of novel strains into products, their efficacy should be carefully assessed and an evaluation made as to whether they share the safety status of traditional food-grade organisms. The concept of genetic manipulation of bacteria for a specific probiotic function is appealing. Consumer resistance to genetically modified organisms (GMO) in foods is such that GMO probiotics are unlikely to be used in the near future, with the possible exception of clinical applications. Steidler et al.[6] showed that a probiotic Lactococcus lactis genetically engineered to secrete cytokine interleukin (IL)-10 prevented colitis in a mouse model of colitis. A recombinant strain of Bacillus subtilis 2335 has been designed which produces proteins with antibacterial and antiviral properties shown to enhance the effectiveness of antitumor therapy in mice.[7] Probiotics can thus be designed to produce potent bioactive chemicals. Extrapolation from proof of principle in a murine model to development of therapeutic applications for humans demands a stringent safety assessment of such GMO probiotics. The demonstration of efficacy in probiotics offers vast opportunities for the development of human and veterinary products. The addition of novel bacterial strains to foods and therapeutic products requires reconsideration of the procedures for safety assessment. Probiotic products that claim specific nutritional, functional or therapeutic characteristics blur the boundaries between what is a food, a diet supplement, or a medicine, posing challenges for regulators. Evidence for the safety and efficacy of probiotic organisms has until recently been largely anecdotal or based on relatively little and often poorly designed research. Lactic acid bacteria (LAB) and yeasts intrinsic to the production of traditional foods have been accepted as safe without any real scientific criteria, partly because they exist as normal commensal flora, and because of their presence for generations presumably without adverse effect. The introduction of a new probiotic culture demands that it be at least as safe as its conventional counterparts. Suggested safety criteria have included but not been limited to unequivocal identification of species and strain, with candidate strains lodged in culture collections for reference and comparison; a profile of intrinsic properties of the organism such as metabolic and enzyme activities, antibiotic resistance and the potential for its transference; host-specific behavior of the strain; and host factors predisposing to infection.[3,8]

II.

UNEQUIVOCAL IDENTIFICATION

For many consumers the term probiotic is a new concept and they are reliant on the manufacturer’s label for appropriate information. The consumer is entitled to expect

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Hoang-Dung TRAN and friends that the label on a probiotic product accurately reflects its contents, i.e., the organism is what it purports to be, it is present alive in a specified concentration range for a stated period, and that the suggested serving size contains sufficient organisms to achieve the claimed benefit. The safety of a putative novel probiotic strain is contingent on its accurate identification. Is the strain associated with safe food use, an intestinal strain isolated from humans, a strain isolated from animals, or a genetically modified strain? Because probiotic effects are known to be strain specific, unequivocal identification of the probiotic bacteria at the genus, species, and strain level is essential. Correct taxonomic identification of both species and strain is a safety issue for quality control of the product, consumer or prescriber information, diagnosis and appropriate treatment of suspected clinical cases, and epidemiological surveillance of the exposed population. Combinations of phenotypic and molecular techniques are available to identify species and discriminate between strains. Closely related strains may be differentiated by molecular typing techniques such as DNA fingerprinting by pulsed field gel electrophoresis (PFGE), random amplified polymorphic DNA (RAPD), ribotyping, restriction enzyme analysis, and plasmid profiling. Borriello et al.[9] suggest that because of the infrequency of probiotic bacteremia and the sophisticated methods and experience needed, identification and confirmation of species and strain characteristics of suspect clinical isolates should be referred to national reference centers. Chemometric methods for pattern recognition incorporating biological and morphological measurements are being developed for automated classification of microorganisms. Characterization of microorganisms by molecular spectroscopy involves analysis of a culture, usually during the growth phase, by Fourier transform mid-infrared spectroscopy. Sophisticated pattern recognition techniques offer the potential for non-invasive, rapid classification of microbial organisms and metabolite patterns from small samples.[10]

III.

TAXONOMY

The taxonomy of lactic acid and other bacteria has changed significantly with the advent of genetic methods of classification. Strains previously thought to be dissimilar have merged, while other strains have been added or reassigned to different genera. The persistent use of incorrect or nonexistent species names on product labels despite taxonomic reassignation is an issue for the safety and credibility of probiotics. Inaccurate nomenclature has no scientific or regulatory validity, misinforms or confuses the consumer, and compromises the safety of the product. Yeung et al.[11] used partial 16S rDNA sequencing to identify named commercial strains obtained directly from the manufacturer and found discrepancies in 14 of 29 species designations. Lourens-Hattingh and Viljoen[12] concluded that probiotic cultures in South African yogurt were little more than a marketing tool upon finding that the initial counts of Bifidobacterium bifidum in three different sources of commercial yogurts were lower than 106 cfu/mL and thus below the therapeutic minimum. Weese[13] identified isolates from eight veterinary and five human probiotics to find accurate descriptions of organisms and concentrations for only two of the 13 products. Temmerman et al.[14] found that of isolates from 55 European probiotic products, 47% of food supplements and 40% of dairy products were mislabeled. The food supplements yielded either no viable bacteria (37%) or significantly lower counts than the

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Hoang-Dung TRAN and friends dairy products, contradicting the concept that health benefits derive from the presence of a minimum concentration of live probiotic bacteria. In 6 products, all species isolated conformed to the label description; in 19 products they differed from those listed. Enterococcus faecium, followed by Lactobacillus rhamnosis, was found most frequently in food supplements. E. faecium was isolated in such high numbers that contamination was unlikely to be the source. Two of the 22 food supplements purporting to contain Lactobacillus acidophilus did. Bifidobacteria were isolated from 5 of 27 products claiming to contain them, despite the use of different selective media. The organism most frequently claimed to be in and isolated from dairy products was L. acidophilus, though it was not necessarily found where claimed. These studies corroborate previous findings by Hamilton-Miller and Shah[15] and Playne[16] and demonstrate continued inaccurate identification and mislabeling of probiotic products.

IV.

ENTEROCCOCI AS PROBIOTICS

Enterococci are commensal microbiota of the gastrointestinal tract, occur naturally in some foods, and are common in veterinary probiotics. They are not typical LAB. Several species are pathogens and have been isolated in nosocomial and other infections, often in pure culture. Some enterococci demonstrate resistance to antibiotics, including vancomycin, and have the ability to transfer antibiotic resistances.[3] With the exception of strains such as E. faecium and Enterococcus faecalis, they are not recognized as safe based on a history of use.[17] Lund et al.[18] evaluated the ability of viable E. faecium to survive gastrointestinal transit in a prospective, randomized blind study of 20 healthy volunteers who had not consumed antibiotics in the 3 months prior or probiotics in the previous 30 days. For 10 days volunteers consumed 150 mL/day of fermented milk product containing Causidiow culture, a mixture of two strains of Streptococcus thermophilus and one of E. faecium, equivalent to a daily dose of 4.5–7.5  109 colony-forming units (CFU) of E. faecium. Half of the subjects were treated simultaneously with vancomycin (12 mg four times daily) for 10 days. Isolation and identification of E. faecium from fecal samples was undertaken at days 0, 10, and 31 (21 days after treatment ceased) by PFGE and phenotypic analyses. In subjects given probiotic alone, the amount of probiotic E. faecium recovered from feces at day 10 of intake compared with total E. faecium ranged from 100% (3 subjects) to 13 – 52% (3 subjects) and ,2% (4 subjects). The strain was not detected 3 weeks after intake ceased, suggesting that it does not persist. Probiotic E. faecium was not detected at day 10 in vancomycin-treated subjects, probably because this strain is vancomycin sensitive and colonization was prevented. An unexpected finding was that total E. faecium numbers in day 31 fecal samples were increased compared to day 0 levels, but the isolates were not closely related to either the probiotic or preexisting strains. For some subjects the probiotic strain was the predominant strain of E. faecium. This strain has previously been shown by the authors to acquire the vanA cluster gene for vancomycin resistance in vitro.[19] Although its in vivo ability to transfer antibiotic resistance by conjugation has not been ascertained, it would be prudent to consider that in vivo conjugation in a safety evaluation. The intrinsic capacity of Enterococcus species for survival and the pathogenicity of some species, coupled with their tendency to exchange genetic material and acquire antibiotic resistance determinants, renders their use as probiotics questionable.

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V.

SPORE-FORMING PROBIOTICS

Novel probiotics may be from other genera of the LAB group, e.g., Lactococcus or Leuconostoc, or from food-associated genera such as Propionibacterium. Other genera and species such as Clostridium and Bacillus are proposed as potential probiotics.[3] Bacillus species are spore-forming bacteria, ubiquitous in the environment and considered to have low pathogenicity. They do not colonize the human intestine but have a transient presence in ingested foods. Bacillus clausii (previously classified as B. subtilis species, a constituent of the probiotic Enterogerminaw) is a mixture of spore forms of strains of B. subtilis given orally as a pharmaceutical probiotic. Spinosa et al.[20] inoculated two groups of BALB/c mice intragastrically with a single dose of 109 spores of either B. clausii (Enterogermina) or a B. subtilis MO1099 derivative. Samples were taken from intestinal sites, lymph organs, and blood at 4, 24, and 72 hours after inoculation. Spores of the inoculated Bacillus strains were found at all intestinal sites at 4 hours. They were largely excreted in the feces as spores, with their presence decreasing exponentially over 72 hours, at which time they comprised a tenth of the total spore count. The minimum inhibitory concentration of conjugated bile salt taurodeoxycholic acid for the Bacillus strains was 100- to 1000-fold lower than that of normal human intestinal bacteria, a possible explanation for the lack of spore germination and intestinal growth. Bacteria and spores were not detected at significant levels in blood. In one mouse B. clausii was detected in the mesenteric lymph nodes and spleen with a cumulative count of spores and vegetative cells 10-fold higher than the spore count alone (1.4  104 vs. 1.6  103 CFU/g and 2.0  104 vs. 3.6  103 CFU/g, respectively). The observation that spores were unable to germinate in the murine intestinal tract, but grew vegetatively after translocation underlines the importance of elucidating those factors favorable for translocation of spore-forming organisms and their subsequent germination external to the gastrointestinal tract, particularly where the genus may have pathogenic members. Oggioni et al.[21] reported blood cultures positive for Bacillus in an immunocompromised patient previously treated with Enterogermina. The two different strains isolated were identical to two from the pharmaceutical product and exhibited multiple antibiotic resistance. It is possible that B. subtilis infections are underreported and their significance unrecognized because of their status as a contaminant organism. Further, Oggioni et al.[21] notes that Bacillus infection as a cause of death is currently not represented in World Health Organization (WHO) statistics. Mechanisms of resistance have been studied in Clostridia for the b-lactamases. Resistance to penicillin is especially common in C. butyricum. C. butyricum produces b-lactamases, which are inducible by some b-lactam antibiotics such as cephalothin, cefoxitin or moxalactam but not penicillins, and inhibited by sulbactam. Rigorously designed studies are needed to characterize and demonstrate the efficacy and safety of spore-forming probiotic bacteria.

VI.

PROBIOTICS IN ANIMALS

The use of probiotics in food animals and aquaculture is well established. Probiotics are reported to improve general health, increase growth and weight gain, and suppress pathogens. Overuse of antibiotics in animal husbandry and the possibility of antibiotic

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Hoang-Dung TRAN and friends resistance have heightened interest in probiotics as alternatives. It has been suggested that the use of probiotics in food animals can reduce the risk of pathogen transfer from food to humans.[22] Conversely, transferable antibiotic resistance determinants from strains of animal probiotics potentially harboring these genes may also in theory enter the human food chain.[3] Aarestrup et al.[23] tested E. faecalis and E. faecium isolated from humans, chickens, and pigs for susceptibility to 12 different microbial agents and the presence of genes encoding resistance using PCR. The same combinations of antibiotic resistance were observed among isolates from human and animal origin, and the same genes encoding resistance were detected. The frequent detection of similar resistance patterns and genes indicated that transmission of resistant enterococci or resistance genes occurs between humans, chickens, and pigs. The European Commission (EC)[24] Scientific Committee on Animal Nutrition (2003) has recommended that, before a bacterial strain can be accepted as an animal probiotic, the intrinsic or acquired genetic basis of observed resistance to representative antibiotics and its transferability should be determined. For species with known intrinsic resistance to an antibiotic, such as vancomycin resistance in lactobacillus, the absence of known resistance genes should be confirmed. Strains carrying acquired resistance to antibiotics used in veterinary or human medicine should not be used in microbial feed additives, except when the basis of resistance is a mutation on a gene intrinsic to that bacterium. This policy would exclude from use any probiotic feed additive containing one or more bacteria with resistance genes capable of being transferred to other bacteria. It is also more restrictive than conditions applying to probiotics for human consumption. The fact that probiotic feed additives are used in agriculture and aquaculture does not obviate the need for them to be safe for humans. Fish and animal probiotics have the potential to cross into the human food chain or transfer antibiotic resistance, and thus should be demonstrated as safe in animals and humans. Adhesion to intestinal mucosa by probiotic bacteria is thought to be a significant mechanism by which they exclude pathogens. Rinkinen et al.[25] evaluated the in vitro ability of LAB strains to inhibit adhesion of canine and zoonotic pathogens to canine small intestinal mucus. Unexpectedly, E. faecium M74 and E. faecium SF273 both significantly enhanced the percentage adhesion of Campylobacter jejuni to 134.6% + 17.4 and 205.5% + 75.0, respectively, of the control without LAB ( p , 0.05). Companion animals are thought to be a reservoir of C. jejuni. Many veterinary probiotics for the treatment of canine intestinal disorders contain Enterococcus species. The observation that E. faecium enhanced rather than excluded the adhesion of C. jejuni suggests that E. faecium may be a risk factor in human Campylobacter infection.

VII.

PROBIOTICS AND INFECTION

It is essential that a probiotic should not have the ability to invade the host cells and cause infection. What is its pathogenic potential? Do other strains or related species cause clinically important infections or produce toxins? Probiotic organisms must be sensitive to broad-spectrum and commonly used antibiotics. This is a significant issue where the intestinal barrier is immature, as in infants; where its integrity is impaired from radiotherapy, antibiotic treatment, or disease; and in immunocompromised states, such as human immunodeficiency virus (HIV) infection. With advances in medical care, an increasing

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Hoang-Dung TRAN and friends proportion of the community may be immunocompromised at some time or at risk of opportunistic infection. Wolf et al.[26] undertook a double-blind, placebo-controlled study assessing the safety of probiotic Lactobacillus reuteri in HIV adults and found the organism to be well tolerated with no significant safety problems. In a review of probiotic safety, Borriello et al.[9] found no published evidence that immunocompromised patients had an increased risk of opportunistic infection from probiotic lactobacilli or bifidobacteria. Two clinical cases have been reported in which a lactobacillus indistinguishable from an ingested probiotic strain has been identified in association with infection. A 74year-old woman with hypertension and diabetes mellitus developed a liver abscess in association with pneumonia and pleural empyema. She had a history of drinking a probiotic milk containing L. rhamnosus GG, and a strain indistinguishable from that was isolated from the abscess.[27] A 67-year-old man with mild mitral regurgitation developed endocarditis after dental extractions. His blood cultures were positive for a strain of L. rhamnosus indistinguishable from that in the probiotic capsules he chewed.[28] A valuable adjunct to future epidemiological studies, such as that by Salminen et al.[29] (see Sec. XI), would be an analysis of what relationship, if any, may exist between the clinical status of the patient and the presence of Lactobacillus bacteremia. Lactobacillus species in general are thought to have low pathogenicity or be opportunistic pathogens in immunocompromised individuals or those with serious underlying disease. It has been suggested that L. rhamnosus in particular warrants surveillance because it is associated with more lactobacillemias than other lactobacilli. L. rhamnosus is among the most common Lactobacillus species in the human intestine, so this may be relative to its extensive presence in the intestine.[30]

VIII.

ANTIBIOTIC RESISTANCE

The potential exists for viable probiotics to colonize the intestinal tract and transfer genetic material. Whether resistance genes can be transferred by a probiotic organism to the endogenous flora, or vice versa, and the impact this would have on antibiotic treatment has yet to be elucidated. In aerobic bacteria conjugation mediated by plasmids or R factors has been documented as the most widespread system for transfer of antibiotic resistance. Antibiotic resistance mechanisms, their genetic nature, and transfer characteristics of resistance determinants have been studied comparatively recently in anaerobic bacteria. It has been shown that the plasmid that encodes for macrolide resistance can be transferred from L. reuteri to E. faecium and from E. faecium to E. faecalis in the mouse gastrointestinal tract.[2] Lactic acid bacteria are naturally resistant to many antibiotics by virtue of their structure or physiology. In most cases the resistance is not transferable and the species are also sensitive to antibiotics in clinical use. However, it is possible for plasmidassociated antibiotic resistance to spread to other species and genera. The transmissible resistance of enterococci to glycopeptide antibiotics such as vancomycin and teicoplanin is of particular concern, as vancomycin is one of the remaining effective antibiotics for the treatment of multidrug-resistant pathogens.[30] The study by Temmerman et al.[14] found that 68.4% of probiotic isolates were resistant to two or more antibiotics. Strains of lactobacilli were found resistant to kanamycin (81%), tetracycline (29.5%), erythromycin (12%), and chloramphenicol (8.5%).

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Hoang-Dung TRAN and friends The disc diffusion method showed 38% of E. faecium isolates were resistant to vancomycin, while the PCR-based van gene detection assay showed they were susceptible. The potential for gene transfer is difficult to assess in vivo. It is also difficult to assess what level of gene transfer, if any, may be considered acceptable by the community. It is a significant reason to select strains lacking the potential to transfer genetic determinants of antibiotic resistance. There is little basis for scientific regulation of strains with intrinsic resistance, as little is known about the levels of intrinsic resistance in current probiotic and food strains. Systematic screening for antibiotic resistance in probiotic strains is not undertaken at present.

IX.

WHEN IS SOON ENOUGH FOR PROBIOTICS?

The colonization of the sterile neonate gut commences at birth in a gradual process modulated by factors such as the surroundings, gastrointestinal disease, antibiotic use, and diet. The pattern of bacterial colonization differs between premature and full-term infants and with the manner of their delivery.[7] The first bacteria originate from maternal gut flora, but cesarean-born babies are colonized more by the surrounding hospital bacteria. After the first week, bifidobacteria, bacteroides, clostridia, enterobacteria, and streptococci are the dominant flora.[31] In breast-fed infants specific strains of bifidobacteria predominate, while formulafed babies have a complex profile of microorganisms similar to adults, with enterobacteria, lactobacilli, bacteroides, clostridia, bifidobacteria, and streptococci. After weaning, the microbiota resemble that of adults. Bifidobacteria predominate from infancy through to old age, but their numbers decline with age.[32] The gut microbiota are the major source of microbial stimulus in infancy. The initial colonization by and composition of the gut microbiota are pivotal to the development of immune responses and normal gut barrier function. Healthy individuals are tolerant of their own gut microbiota, but tolerance is impaired in patients with inflammatory and allergic diseases,[31] resulting in altered microbiota as the normal flora respond to inflammatory processes in the gut or elsewhere. A study by Kallioma¨ki et al.[33] indicates that the composition of gut microbiota differs between healthy and allergic infants. Recent data showed differences in the Bifidobacterium population and immunoregulatory potential between healthy and allergic infants.[34 – 36] Christensen et al.[36] showed that different Lactobacillus species have very different activation effects on the gut cells that initiate local immune responses. The nature of the immune response varied with probiotic strain and was strongly influenced by the dose. Kallioma¨ki et al.[33] tested whether L. rhamnosus GG could prevent the occurrence of atopic eczema in at-risk infants in a randomized double-blind, placebo-controlled trial. L. rhamnosus GG was given to mothers prenatally for 2 weeks before delivery and 6 months postnatally if breast feeding, or to the infant if not. The incidence of atopic eczema in the first 2 years of life was halved compared to that in infants given placebo. This study showed that a specific strain of probiotic bacteria strongly influenced immune regulation in infants. One putative mechanism underlying the basis of therapy by specific strains of probiotic bacteria is normalization of the balance between generation of pro-and anti-inflammatory cytokines. Mechanisms by which a probiotic actually prevents allergy are yet to be elucidated, but are thought to involve the generation of anti-inflammatory cytokines.[32]

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Hoang-Dung TRAN and friends This raises significant questions about the use of probiotics in infancy. The longterm effects of probiotics on the composition of the gut flora and gut immunity during maturation are not known. Once a probiotic strain is incorporated into the normal microbiota, as has been documented during infancy, the potential to stimulate an immune response may be abolished with a consequent loss of probiotic potential. The strain-specific properties of a probiotic need to first be characterized by in vitro testing of the immunomodulatory effects. It is known that not all Lactobacillus and Bifidobacterium strains have beneficial effects. Molecular factors modulating immunoregulation will need to be elucidated. Immunological effects will require assessment in specific at-risk populations, as the response of “normal” gut microbiota to probiotic intervention varies with age and the clinical status of the subject. Safety evaluation of longterm health effects will be important in the selection of, and characterization studies for, a probiotic.

X.

CLINICAL STUDIES

Clinical studies in humans have investigated the effect of oral administration of probiotics on the balance of intestinal microbiota and in a variety of disorders. Until recently many studies were of inadequate design and produced unreliable data. Features of inadequate studies include: (a) absence of a patient control group; (b) small treatment groups; (c) undefined treatment groups; (d) a wide age range within a treatment group; (e) a diversity of antibiotic treatments; (f ) an absence of dosing criteria such as dose and duration; or (g) subjects with symptoms of concurrent disease with the potential to confound an observation of adverse effects. The gold standard is a controlled study with randomized, blind assignation to treatment, placebo, and untreated groups. The safety of a probiotic is inextricably linked to its efficacy. The design of clinical trials for a novel probiotic would ideally provide evidence of its presence, persistence, or colonization in the treated groups compared to placebo groups before, during, and after treatment. The number of organisms and their viability in the product at the onset and conclusion of the clinical trial should also be enumerated. XI.

EPIDEMIOLOGICAL SURVEILLANCE

Two Finnish studies have investigated the incidence of infections associated with LAB. In the first study 16S rRNA methods were used to characterize and identify LAB isolated from blood cultures of bacteremic patients in southern Finland.[37] The total number of infections caused by lactobacilli was extremely low, and the probiotic strain newly introduced in fermented milks was not associated with infections. In a subsequent study, lactobacilli isolated from bacteremic patients between 1989 and 1994 were compared to common dairy or pharmaceutical strains.[38] From a total of 5192 blood cultures, 12 were positive for lactobacilli, an incidence of 0.23%. None of the clinical cases could be related to lactobacilli strains used by the dairy industry. In both studies, patients with lactic acid bacteria bacteremia had other severe underlying illnesses. In a recent study, Salminen et al.[29] examined the incidence of lactobacilli bacteremia in the Finnish population for the period corresponding to a rapid increase in consumption of the probiotic strain L. rhamnosus GG (ATCC 53103). This strain was isolated from human intestinal flora and introduced into dairy products in 1990. By 1999 the annual per capita consumption was estimated at 6 L (3  1011 CFU) per person per year.

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Hoang-Dung TRAN and friends The Helsinki University Central Hospital collected all Lactobacillus isolates from blood cultures and cerebrospinal fluid in its catchment area from 1990 to 2000. Blood culture isolates were also collected for all cases of Lactobacillus bacteremia reported (and unreported) by mandatory notification to the National Infectious Disease Register from its inception in 1995 to 2000. Species were characterized and compared to L. rhamnosus GG strain by molecular epidemiological methods. Ninety cases of Lactobacillus bacteremia were identified between 1995 and 2000, when the population in Finland was 5.2 million. Of the 66 isolates available for species-level identification, 48 were Lactobacillus isolates, with the most common species being L. rhamnosus (26, 54%), L. fermentum (9, 19%) and L. casei (7, 15%), respectively. In 35 cases more than one bacterial species other than Lactobacillus was also identified. Eighteen of the 66 isolates (27%) were organisms other than Lactobacillus. Eleven of the 26 L. rhamnosus strains were indistinguishable by PFGE from the probiotic L. rhamnosus GG. No increase in the incidence or proportion of Lactobacillus bacteremia was observed, despite a clear increase in the number of cases of bacteremia over the period. Lactobacillus isolates comprised 0.24% of all blood culture isolates, consistent with previous Finnish reports.[38] The average annual national incidence of Lactobacillus bacteremia was estimated as 0.29/100,000 people per year. The study provides evidence that the increased consumption of L. rhamnosus GG had not led to a corresponding increase in Lactobacillus bacteremia.

XII.

COMPARING PROBIOTICS

Many bacteria are tested to find a putative probiotic, yielding conflicting data, sometimes for the same organism. Comparisons between studies and organisms cannot be readily made because of nonstandardized dosing procedures, particularly for the number of bacteria and the duration of dosing. Pharmacokinetics, pharmacodynamics, safety, and the risk of acquisition of antimicrobial resistance have usually not been evaluated.[39] Probiotic effects are strain-specific, illustrating the need to characterize the relationship between the dose, its duration, and effect on a strain-by-strain basis. When considering the pharmacokinetics of the probiotic organism, we want to know if the bacterial strain modifies intestinal flora. In determining the dose-response relationship, if there is failure to elicit an effect, is it because the organisms failed to reach effective levels at the site, or is it due to rapid elimination of the bacteria, or nonpersistence, or destruction? It is unclear whether proposed consumption of a probiotic is to be on a regular daily basis throughout life, or irregular and dependent on symptoms. Borriello et al.[9] were unable to find published medical literature regarding the consumption of viable probiotics by hospital patients, some of whom may be predisposed to infection by probiotic bacteria. Information is not readily available on (a) the equivalence or comparability of formulations in different preparations; (b) the distinction between spore or vegetative forms, powders, granules, tablets, liquids, and yogurts; or (c) adult and pediatric products. Intake data are not generally available for countries where such products are used. Nutritional studies may be needed in addition to toxicological studies, depending on (a) the nature of the product; (b) its intended use; (c) its anticipated intake; and (d) the impact of dietary intake on the spectrum of colonic flora, their metabolic functions, and bioavailability of nutrients.[40]

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Hoang-Dung TRAN and friends EVOLUTION OF GUIDELINES FOR PROBIOTIC SAFETY

Before new probiotic microorganisms and novel probiotic products are introduced into the market, their safety will need to be assured. There is vigorous debate on what constitutes appropriate safety testing for novel probiotic strains proposed for human consumption. Conventional toxicology and safety evaluation is of limited value in assessing the safety of probiotic bacteria. In 1996 the European Union initiated the program Demonstration of Nutritional Functionality of Probiotic Foods (PROBDEMO CT96-1028), the aim of which was to provide and verify scientific evidence of claims for probiotic products. It established a list of safety criteria for probiotic foods (Table 1). The European Commission’s 5th Framework Program is addressing this complex subject in its collaborative project, Biosafety Evaluation of Probiotic Lactic Acid Bacteria Used for Human Consumption, due for completion in 2004. The project, Project 7 of the PROEUHEALTH cluster, is examining issues that include: The presence and horizontal transfer of antibiotic-resistance genes The detection of virulence factors The evaluation of adverse immune effects Probiotic survival, colonization and genetic stability in the human gut. Project 7 is intended to formulate standardized premarketing safety testing and postmarketing surveillance of probiotics.

Table 1 1. 2. 3. 4.

5.

6. 7.

8. 9. 10.

PROBDEMO Criteria for Safety of Probiotics

The producer of food has the ultimate responsibility for supplying a safe food. Probiotic foods should be as safe as other foods. If a probiotic food is a novel food, it is subject to legal approval according to the EU directive for novel foods. When a strain has a long history of safe use, it will be safe as a probiotic strain and will not result in a novel food. The best test for food safety is a well-documented history of safe human consumption. When a strain belongs to a species for which no pathogenic strains are known and for which other strains have been described that have a long history of safe use, it is likely to be safe as a probiotic food and will not result in a novel food. When a strain belongs to a species for which no pathogenic strains are known but which do not have a history of safe use, it may be safe as a probiotic food but will result in a novel food and should be treated as such. When a new strain belongs to a species for which strains are known that are pathogenic, it will result in a novel food. State-of-the-art taxonomy is required to describe a probiotic strain, including DNA – DNA hybridization and rRNA sequence determination. This reasoning specifically applies to mutants of a probiotic strain. In line with recommendation (1), strains that carry transferable antibiotic resistance genes (genes encoding proteins that inactivate antibiotics) should not be marketed. Strains that have not been properly taxonomically described using the approaches indicated in (7) should not be marketed. Strains should be deposited in an internationally recognized culture collection.

Source: Adapted from Salminen et al.[8]

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Hoang-Dung TRAN and friends FAO/WHO has convened a joint Working Group to draft guidelines for evaluating probiotics used in food.[41] The Working Group proposed a framework of strain identification and functional characterization, followed by safety assessment and Phase 1, 2, and 3 human trials. It recommended that probiotic foods be properly labeled with the strain designation, minimum numbers of viable bacteria at the end of shelf life, storage conditions, and manufacturer’s contact details. The minimum tests required for characterization of safety are shown in Table 2. The Working Group further posited that assessment of lack of infectivity by a probiotic strain in immunocompromised animals would increase confidence in the safety of the probiotic. The European Commission[42] is currently exploring a scheme with some similarity to the GRAS system in the United States to formulate a consistent approval procedure for the use of microorganisms in feeds and foods. Microorganisms associated with animal feeds are strictly regulated in Europe, but there is no formal mechanism for granting safety status to microorganisms in human food. This leads to inconsistencies where an organism or closely related strain with a long history of safe use in human foods is subject to strict safety assessment as an animal feed additive. The scheme proposed is based on the concept of qualified presumption of safety (QPS), defined as “an assumption based on reasonable evidence” and qualified to allow certain restrictions to apply. The intention of the scheme is to have consistent generic safety assessment of microorganisms through the food chain without compromising safety standards. Case-by-case evaluations would be limited to aspects particular to the organism, obvious examples being acquired antibiotic-resistance determinants in lactic acid bacteria or toxin production in species known to contain toxigenic strains. Qualifications to QPS approval could be (a) general, e.g., live or dead bacteria consumed directly by humans should be free of acquired resistance to antibiotics of importance in human or veterinary medicine, or (b) specific to an organism, e.g., bacteria from taxonomic groups containing toxigenic strains should be demonstrated free of toxigenic potential. Broadly, the characteristics to be evaluated for QPS approval are:

Unambiguous identification at the claimed taxonomic level. Relationship of taxonomic identity to existing or historic nomenclature. Degree of familiarity with organism based on weight of evidence. Potential for pathogenicity to humans and animals. End use of the microorganism—Is it to be directly consumed? A component of a food product not intended to enter the food chain, but which may

Table 2 1. 2. 3. 4. 5. 6.

Joint FAO/WHO Working Group Recommendations to Evaluate Probiotic Safety

Determination of antibiotic resistance patterns Assessment of metabolic activities (e.g., D -lactate production, bile salt deconjugation) Assessment of side effects during human studies. Postmarket epidemiological surveillance of adverse incidents in consumers. If the strain under evaluation belongs to a species that is a known mammalian toxin producer, it must be tested for toxin production. If the strain under evaluation belongs to a species with a known hemolytic potential, determination of hemolytic activity is required.

Source: Ref.[41]

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Hoang-Dung TRAN and friends adventitiously; or used as a production strain in a product intended to be free of live organisms? The end use of the microrganism will influence any qualifications imposed.

QPS status would not apply to a microorganism that commonly causes pathogenicity. If pathogenicity was limited to selected strains and its mechanism was testable, the microorganism might remain eligible for QPS status. The microorganism would not necessarily be considered a potential pathogen if there are infrequent reports of clinical isolates from severely ill people. An example of how the process could proceed is summarized for B. subtilis. Enough is known to establish the identity of strains in the B. subtilis group. Its biology and pathogenicity are understood well enough to exclude problem strains. Some strains may qualify for QPS status, provisional to meeting the qualifications that (a) PCR-based evidence shows an absence of toxigenic potential; (b) production strains with toxigenic potential fail to produce detectable toxin levels in the production system employed; (c) the strain is free of acquired resistance to antibiotics of significance to human and veterinary medicine; and (d) it cannot produce antibiotics with structural similarities to those in human or veterinary medicine likely to encourage development of resistance.

XIV. SUMMARY Probiotic bacteria should be unequivocally identified and defined with correct taxonomy. Probiotic strains should be deposited in a recognized international culture collection for access by manufacturers, scientists, and regulators to ensure that organisms can be monitored for genetic drift and comparison with clinical isolates. Novel probiotic strains from species with pathogenic, toxigenic or other adverse properties should be evaluated with scientific rigor. Probiotic organisms should be systematically screened for antibiotic resistance and its transference. Immunomodulatory effects of probiotics should be assessed in defined target populations. Clinical studies should comply with the gold standard of randomized, double-blind, placebo-controlled design. Probiotics in animal feed additives or veterinary products should be evaluated for their safety in the human food chain. Labeling of probiotic products should accurately reflect content, shelf life, claimed attributes, and dose. Following the introduction of novel probiotics, intake data should be gathered, especially for long-term consumption. After market release of a novel probiotic, epidemiological surveillance for any associated adverse effects, particularly infection, should be instituted. Clinical isolates should be compared with endogenous and probiotic strains to confirm their safety. National reference centers should identify species and strain in clinical cases. National clinical and epidemiological databases should include identity of organism, status of patient’s underlying conditions, coexisting infections, and outcomes.

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Reid, G.; Beuerman, D.; Heinemann, C.; Bruce, A.W. Probiotic Lactobacillus dose required to restore and maintain a normal vaginal flora. FEMS Immunol. Med. Microbiol. 2001, 32, 37– 41. Donohue, D.C.; Salminen, S.; Marteau, P. Safety of probiotic bacteria. In Lactic Acid Bacteria, 2nd Ed.; Salminen, S., von Wright, A., Eds.; Marcel Dekker Inc.: New York, 1998; 369– 383. Ouwehand, A.C.; Salminen, S. Safety evaluation of probiotics in Functional Dairy Products, Mattila-Sandholm, T.; Saarela, M., Eds. Woodhead Publishing Ltd., Cambridge, UK. 2003, 316–336. Mogensen, G.; Salminen, S.; O’Brien, J.; Ouwehand, A.; Holtzapfel, W.; Shortt, C.; Fonde´n, R.; Miller, G.; Donohue, D.; Playne, M.; Crittenden, R.; Bianchi Salvadori, B. Food microorganisms—health benefits, safety evaluation and strains with documented history of use in foods. Bull. Int. Dairy Fed. 2002a, 377, 4 – 9. Mogensen, G.; Salminen, S.; O’Brien, J.; Ouwehand, A.; Holtzapfel, W.; Shortt, C.; Fonde´n, R.; Miller, G.; Donohue, D.; Playne, M.; Crittenden, R.; Bianchi Salvadori, B. Inventory of microorganisms with a documented history of use in food. Bull. Int. Dairy Fed. 2002b, 377, 10– 19. Steidler, L.; Hans, W.; Schotte, L.; Neirynck, S.; Obermeier, F.; Falk, W.; Fiers, W.; Remaut, E. Treatment of murine colitis by Lactococcus lactis secreting interleukin-10. Science 2000, 289, 1352– 1355. Kaur, I.P.; Chopra, K.; Saini, A. Probiotics: potential pharmaceutical applications. Eur. J. Pharm. Sci. 2002, 15, 1 – 9. Salminen, S.; von Wright, A.; Morelli, L.; Marteau, P.; Brassart, D.; de Vos, W.M.; Fonde´n, R.; Saxelin, M.; Collins, K.; Mogensen, G. Demonstration of safety of probiotics—a review. Int. J. Food Microbiol. 1998, 44 (1– 2), 93 – 106. Borriello, S.P.; Hammes, W.P.; Holzapfel, W.; Marteau, P.; Schrezenmeir, J.; Vaara, M.; Valtonen, V. Safety of probiotics that contain lactobacilli or bifidobacteria. Clin. Infect. Dis. 2003, 36, 775– 780. Brereton, R. Characterisation of microorganisms by molecular spectroscopy. Alchemist 2002. http://www.chemweb.com/alchem/articles/1039430569111.html Accessed 11-06-03. Yeung, P.S.M.; Sanders, M.E.; Kitts, C.L.; Cano, R.; Tong, P.S. Species-specific identification of commercial probiotic strains. J. Dairy Sci. 2002, 85, 1039– 1051. Lourens-Hattingh, A.; Viljoen, B.C. Survival of probiotic bacteria in South African commercial bio-yogurt. South Afr. J. Sci. 2002, 98, 298 – 300. Weese, J.S. Microbiologic evaluation of commercial probiotics. J. Am. Vet. Med. Assoc. 2002, 220, 794– 797. Temmerman, R.; Pot, B.; Huys, G.; Swings, J. Identification and antibiotic susceptibility of bacterial isolates from probiotic products. Int. J. Food Microbiol. 2003, 81, 1 – 10. Hamilton-Miller, J.M.T.; Shah, S. Deficiencies in microbiological quality and labelling of probiotic supplements. Int. J. Food Microbiol. 2002, 72, 175 –176. Playne, M. Classification and identification of probiotic bacterial strains. Probiotica 1999, 7, 1 – 2, 4. Franz, C.M.A.P.; Holzapfel, W.H.; Stiles, M.E. Enterococci at the crossroads of food safety. Int. J. Food Microbiol. 1999, 47, 1 –10. Lund, B.; Adamsson, I.; Edlund, C. Gastrointestinal transit survival of an Enterococcus faecium probiotic strain administered with or without vancomycin. Int. J. Food Microbiol. 2002, 77, 109– 115. Lund, B.; Edlund, C. Probiotic Enterococcus faecium strain is a possible recipient of the van gene cluster. Clin. Infect. Dis. 2001, 32, 1384– 1385.

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Spinosa, M.R.; Braccini, T.; Ricca, E.; De Felice, M.; Morelli, L.; Pozzi, G.; Oggioni, M.R. On the fate of ingested Bacillus spores. Res. Microbiol. 2000, 151, 361 – 368. Oggioni, M.R.; Pozzi, G.; Valensin, P.E.; Galieni, P.; Bigazzi, C. Recurrent septicemia in an immunocompromised patient due to probiotic strains of Bacillus subtilis. J. Clin. Microbiol. 1998, 36, 325–326. Atlas, R.M. Probiotics—snake oil for the new millenium? Environ. Microbiol. 1999, 1, 375 – 382. Aarestrup, F.M.; Agerso, Y.; Gerner-Smidt, P.; Madsen, M.; Jensen, L.B. Comparison of antimicrobial resistance phenotypes and resistance genes in Enterococcus faecalis and Enterococcus faecium from humans in the community, broilers, and pigs in Denmark. Diagn. Microbiol. Infect. Dis. 2000, 37, 127 – 137. European Commission. Opinion of the Scientific Committee on Animal Nutrition on the criteria for assessing the safety of micro-organisms resistant to antibiotics of human clinical and veterinary importance (adopted 3 July 2001, revised 24 Jan 2003). http://europa.eu.int/ comm/food/fs/sc/scan/out108_en.pdf accessed 11-6-03. Rinkinen, M.; Jalava, K.; Westermarck, E.; Salminen, S.; Ouwehand, A.C. Interaction between probiotic lactic acid bacteria and canine enteric pathogens: a risk factor for intestinal Enterococcus faecium colonisation? Vet. Microbiol. 2003, 92, 111 – 119. Wolf, B.W.; Wheeler, K.B.; Ataya, D.G.; Garleb, K.A. Safety and tolerance of Lactobacillus reuteri supplementation to a population infected with the human immunodeficiency virus. Food Chem. Toxicol. 1998, 36, 1085– 1094. Rautio, M.; Jousimies-Somer, H.; Kauma, H.; Pietarinen, I.; Saxelin, M.; Tynkkynen, S.; Koskela, M. Liver abscess due to a Lactobacillus rhamnosus strain indistinguishable from L. rhamnosus strain GG. Clin. Infect. Dis. 1999, 28, 1159– 1160. Mackay, A.D.; Taylor, M.B.; Kibbler, C.C.; Hamilton-Miller, J.M.T. Lactobacillus endocarditis caused by a probiotic organism. Clin. Infect. Dis. 1999, 5, 290 – 292. Salminen, M.K.; Tynkkynen, S.; Rautelin, H.; Saxelin, M.; Vaara, M.; Ruutu, P.; Sarna, S.; Valtonen, V.; Ja¨rvinen, A. Lactobacillus bacteremia during a rapid increase in probiotic use of Lactobacillus rhamnosus GG in Finland. Clin. Infect. Dis. 2002, 35, 1155– 1160. Salminen, S.; Isolauri, E.; von Wright, A. Safety of probiotic bacteria. In Reviews in Food and Nutrition Toxicity Vol. 1. Preedy, V.R.; Watson, R., Eds. Taylor and Francis, London, UK, 2003, 271–283. Kirjavainen, P.V.; Arvola, T.; Salminen, S.J.; Isolauri, E. Aberrant composition of gut microbiota of allergic infants: a target of bifidobacterial therapy at weaning? Gut 2002, 51, 51 – 55. Saarela, M.; La¨hteenma¨ki, L.; Crittenden, R.; Salminen, S.; Mattila-Sandholm, T. Gut bacteria and health foods—the European perspective. Int. J. Food Microbiol. 2002, 78, 99 – 117. Kallioma¨ki, M.; Salminen, S.; Arvilommi, H.; Kero, P.; Koskinen, P.; Isolauri, E. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet 2001, 357, 1076– 1079. He, F.; Ouwehand, A.; Isolauri, E.; Hashimoto, H.; Benno, Y.; Salminen, S. Comparison of mucosal adhesion and species identification of bifidobacteria isolated from healthy and allergic infants. FEMS Immunol. Med. Microbiol. 2001, 1285, 43 – 47. He, F.; Morita, H.; Hashimoto, H.; Hosoda, M.; Kurisaki, J.; Ouwehand, A.C.; Isolauri, E.; Benno, Y.; Salminen, S. Intestinal Bifidobacterium species induce varying cytokine production. J. Allergy Clin. Immunol. 2002, 109, 1035– 1036. Christensen, H.R.; Frokiaer, H.; Pestka, J.J. Lactobacilli differentially modulate expression of cytokines and maturation surface markers in murine dendritic cells. J. Immunol. 2002, 168, 171 – 178.

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Saxelin, M.; Chuang, N-H.; Chassy, B.; Rautelin, H.; Ma¨kela¨, P.H.; Salminen, S.; Gorbach, S.L. Lactobacilli and bacteremia in southern Finland, 1989– 1992. Clin. Infect. Dis. 1996a, 22, 564–566. Saxelin, M.; Rautelin, H.; Salminen, S.; Ma¨kela¨, P.H. The safety of commercial products with viable Lactobacillus strains. Infect. Dis. Clin. Pract. 1996b, 5, 331 – 335. Sullivan, A.; Nord, C.E. The place of probiotics in human intestinal infections. Int. J. Antimicrob. Agents 2002, 20 (5), 313 – 319. International Life Sciences Institute (ILSI). The Safety Assessment of Novel Foods; ILSI Europe: Brussels, 1995; 1 – 24. FAO/WHO. Guidelines for the evaluation of probiotics in food. Report of a Joint FAO/WHO Working Group on Drafting Guidelines for the Evaluation of Probiotics in Food, London, Ontario, Canada. FAO/WHO, April 30 and May 1, 2002; 1 – 11. European Commission. On a generic approach to the safety assessment of micro-organisms used in feed/food and feed/food production. 2003; 1 – 10 (http://europa.eu.int/comm/ food/fs/sc/scf/out178_en.pdf accessed 11-6-03).

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20 Lactic Acid Bacteria as Animal Probiotics ¨ IVI JAVANAINEN, and JOUKO SETA ¨ LA ¨
JUHA NOUSIAINEN, PA Valio Ltd, Helsinki, Finland ATTE VON WRIGHT University of Kuopio, Kuopio, Finland

I.

INTRODUCTION

The composition and metabolism of the gastrointestinal microbiota affects the performance of farm animals in many ways, especially young ones subjected to environmental stress. The indigenous microbiota that is established after birth interacts with the digestive and immune systems of the body, and its activities can be both beneficial and harmful to the host. The colonization of the different compartments of the gut by specific commensal bacteria, partly by means of association with the mucus layer or adhesion to the surface or epithelial cells, serves as a first defense barrier against invading microorganisms or toxic substances in the diet. In some species, especially in adult ruminants, the digestion of a fibrous diet is mainly based on the fermentative action of the bacteria in the rumen. In addition to digestive aid, the gut microbiota may produce substances or reprocess the refluxed host metabolites that are absorbed and utilized or excreted.[1,2] In healthy animals, each part of the intestines is colonized by a typical microbiota, which is adapted to grow in a beneficial symbiosis with the host. Due to the intensive management methods of today, farm animals are very susceptible to enteric bacterial imbalance, leading to inefficient digestion and absorption of nutrients and retarded growth. To overcome these difficulties, diets have been supplemented with antibiotics,


Current affiliation: Association of Rural Advisory Centres, Vantaa, Finland.

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Hoang-Dung TRAN and friends which have indeed proven very effective in decreasing diarrhea and promoting growth.[3 – 5] However, the development of resistant strains of harmful bacteria may interfere with the use of veterinary antibiotics[6,7] and decrease the efficiency of antibiotics per se. Possible residues in the animal products and cross-resistance with human pathogens might also result in health risks, which are so far not completely understood.[8,9] The possible transmission of antibiotic resistance from animals to humans together with increased awareness of consumer safety has led to the prohibition of antibiotics as feed additives for production animals and to restricting their use for therapeutic purposes only. In the European Union (EU), practically all use of feed antibiotics for production animals is prohibited, with the exception of coccidiostats for poultry. Further proposals to phase out the four remaining antibiotic feed additives still on the EU market (until January 2006) are in preparation. For the above reasons there is wide interest in replacing feed antibiotics with more natural feed additives—probiotics. This term was used by Lilly and Stillwell[10] to mean a substance secreted by one microorganism that stimulated the growth of another. Parker[11] defined probiotics as organisms or substances contributing to optimal intestinal microbial balance. Fuller[12] interpreted “organisms or substances” as meaning live microbial feed supplements, excluding the possibility that the “substances” could be antibiotics. Synthesizing the above expressions, the authors consider animal probiotics to be live microorganisms that decrease the number of intestinal infections and/or increase production and/or improve food hygiene by contributing to a better gastrointestinal environment. Since the early studies of Metchnikoff[13,14] of the favorable effects of soured milk products in humans, the most beneficial part of the intestinal microbiota has been suggested to be lactic acid bacteria (LAB). These organisms are most often found in commercial probiotic preparations,[15,16] but spore-forming bacilli or bifidobacteria may be used as well. The purpose of this overview is to introduce the composition and activities of the gut microbiota in farm animals and to condense the latest knowledge of LAB as potential performance enhancers. The term LAB includes members of the genera Lactobacillus and Enterococcus (formely Streptococcus) species faecium and faecalis. The following discussion will be concentrated on pigs and young cattle, which are developing ruminant behavior. Studies of other species, such as poultry, will be referred to only when necessary to help understand the probiotic concept. For non-LAB probiotics (bacilli, yeasts, etc.) and other animal species, the reader is referred to the reviews of Tournut,[17] Kozasa,[18] Vanbelle et al.,[19] and Huber.[20]

II.

GENERAL ASPECTS OF THE GUT MICROBIOTA IN PIGS AND CALVES

A.

Composition

The composition of the gut microbiota is known to vary due to many host-specific and environmental factors. Age and the gut site or the diet of the animal may be the most important examples of the former or the latter, respectively. Microbial communities in a certain part of the gut can be found in the lumen (attached to the feed particles or existing freely in the fluid), in association with the mucous epithelium, or in the bottom of the crypts.[2] A detailed discussion of the colonization factors believed to affect the gut microbiota has been given by Savage[21] and Tannock,[22] among others.

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1.

Pigs

The gastrointestinal (GI) tract of pigs is first inoculated with bacteria occurring in the reproductive tract of the dam and then by those existing in the immediate environment.[23] The stomach of the neonatal pig has been shown to be colonized by lactobacilli, streptococci, enterococci, and coliforms within 48 hours after birth, and strictly anaerobic organisms, such as bacteroides, can also be detected in the feces when the pig is a few days old.[24] In the suckling period, bacteria that can utilize the components of milk predominate in the upper tract,[25,26] and the milk constituents evidently largely determine which microbes can be implanted in the intestines. After the piglets start to consume creep feed and are finally weaned, an adult type of microbiota begins to develop in the upper (stomach and anterior small intestine) and lower (ileum, cecum, and colon) tract. At the same time the main site of bacterial fermentation changes from the stomach to the large intestine. In fact, the colonic microbiota of adult pigs resembles that of the rumen except for the lack of protozoa.[27,28] The adhering LAB on the nonsecretory squamous epithelium of the pigs stomach are believed to serve as a source of inoculum for the lumen. However, this could not be confirmed by Henriksson and coworkers,[29] who studied the effect of removal of the pars oesophagus area. Lactobacillus fermentum and Streptococcus salivarius are the predominant strains in this area,[25,26] reaching the level of 108 CFU cm22. A similar layer of bacteria can be detected in the crop of chickens and in the stomach of humans and rats, although the adherent strains differ between the species. Recent data reveal that the LAB population in the pig’s stomach may evolve during its life.[30,31] This means that the strains isolated from the young pig before weaning may not colonize the stomach of adult pigs, or vice versa. Microbes other than LAB (E. coli, yeasts) often found in the stomach of pigs might be considered as transient, nonindigenous organisms, since they evidently cannot colonize the squamous area.[1] According to Blomberg and Conway,[32] the increased E. coli (K 88) growth in the anterior porcine gut is connected to changes in the LAB population of the squamous area. The microbiota of the small intestine (SI) is affected by the bile salts and fast passage rate, but the same microbial groups as are found in the stomach can be cultured. The number of bacteria increases posteriorly due to slower flow rate and possibly lowered concentration of deconjugated bile acids. Jonsson[33] noted that the pig SI microbiota may be transient because evidence for adhesion is lacking. Muralidhara et al.[34] found coliforms and lactobacilli up to 107 and 108 CFU/g luminal contents, the figures being lower for the mucosal homogenates (105 CFU/g). However, Wadstro¨m et al.[35] demonstrated the in vitro adhesion of several strains of lactobacilli and streptococci isolated from the SI wall homogenates to the SI epithelial cells. Fuller et al.[36] reported the adhesion of Streptococcus faecium on the duodenal epithelium of chickens; the amount of attached bacteria was markedly higher in the macerated tissue homogenate than in the luminal contents. Due to slow passage, the densest microbial population in pigs is found in the large intestine, the total number being 1010 – 1011 CFU/g wet contents. Bacteroides, lactobacilli, and bifidobacteria are the most numerous, but enterococci and coliforms can also be found in high numbers.[33] The colonic microbiota has been mainly studied by sampling feces, but many workers have argued against this method (see Ref.[1]) as the fecal microbiota has been found to be different from the mucosal and luminal microbiota.[37]

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2.

Calves

At an early age the rumen of a calf has good physiological resources for the development of a microbiota. The inocula of the contents in the forestomachs is a natural event, obtained from the air, mother, etc.[38] Cellulolytic and methanogenic bacteria can be found at the age of 3 days in the reticulorumen of the calf.[39] At the age of 1 – 3 weeks cellulolytic and lactate-fermenting bacteria and coliforms are present in the microbiota.[40,41] Lactate-fermenting bacteria are decreased after this period, and at the age of 9 –13 weeks the ruminal microbiota of the calf is similar to that of an adult ruminant. Lengemann and Allen[42] found that in milk-fed calves the development of the cellulolytic bacteria or the microbiota generally was slower than in calves fed with dry feeds. Nieto et al.[43] suggested that weaning of the calf from milk to dry feeds caused a more rapid appearance of protozoa in the rumen. Protozoa could be found at the age of 8 days. Moreover, artificial inoculation did not affect the establishment of the culturable bacteria, but after inoculation with rumen contents, protozoa (Entodinia, Diplodinia, and Holotrichs) appeared at the age of 6 weeks.[38] Normally ciliate protozoa were not found in the rumen earlier than the age of 13 weeks.[40] After birth, milk or liquid milk replacers are the main feeds for a nonruminant. Liquid feed also passes the reticulorumen via esophageal groove to the abomasum and further into the small intestine. Therefore it is natural that one of the first groups of microorganisms in the rumen is LAB and that rumen microbiota has no great effect on feed digestion at an early age. This means that in the nonruminant calf disorders of the digestive tract may be treated as with piglets. However, Marounek et al.[44] suggested that metabolic products of some rumen microorganisms might have probiotic-type effects in the calf even at an early age. The small and large intestinal microbiota of calves resembles that of the rumen (reviewed by Jonsson[33]) and is also affected by diet and age. Marshall et al.[45] isolated adherent lactobacilli from the epithelium of the esophageal groove, omasum, abomasum, and duodenum at levels of 104 – 107 cm22. According to Gilliland et al.[46] the numbers of lactobacilli and coliforms in the small and large intestine vary between 106 – 107 and 108 –109 and 105 – 107 and 108 – 109/g dry weight of the gut contents, respectively. B.

Digestion

1.

Carbohydrates

Cranwell et al.[47] showed that in the stomach of piglets, large amounts of lactic acid are produced by LAB, mainly from lactose and glucose (Table 1). This may be essential for pH regulation and formation of an acid barrier, since HCl production is still limited in the suckling period. In a later study,[48] heavy lactate production was observed to inhibit HCl secretion, indicating that the regulation is based on hydrogen ion concentration and not on the acid per se. Lactate constitutes 80 –90% of the total organic acids in the stomach (50 –80 mmol/L) of a suckling pig,[49] the proportion being much lower (50%) in older animals on a creep diet.[50,51] Sugars are also the most likely substrates for small intestinal bacteria, but the real quantity of the fermentation may be limited. However, organic acids up to 50 –100 mmol/L can be found, lactate predominating and acetate accounting for most of the VFA. Part of the organic acids in the small gut may be contributed by the digesta emptying from the stomach.[23]

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Table 1

Contribution of Microbes to Digestion of the Host in Different Compartments of the Gut End products of bacterial digestion

Substrate Carbohydrates Protein and N compounds Lipids

Stomach Lactic acid Ammonia Amines (amino acids) Fatty acids

Small intestine

Cecum þ colon

Lactic acid; acetate Volatile fatty acids Ammonia Amines Ammonia Amines (amino acids) De novo synthesis of Fatty acids; fat; hydrogenated deconjucated bile, fatty acids; modified modified cholesterol cholesterol

The large intestine allows efficient bacterial fermentation to take place, especially in adult pigs. Degradation of plant cell-wall carbohydrates, mucin, and other endogenous secretions results in organic acids in a series of reactions, as in the rumen.[52] The amount of organic acids in the chyme varies between 150 and 200 mmol/L,[50,51] with acetate, propionate, and butyrate accounting 60, 30, and 15 mol%, respectively, and lactate occurring only occasionally in trace amounts. VFA absorbed from the large gut can represent 15% of the total net energy requirement of the growing swine.[53] 2.

Protein and Nitrogen Compounds

Bacteria unlikely possess any significant proteolytic activity, especially in the upper tract, but amino acids, peptides and urea are used as N sources (Table 1). Almost all amino acids can be deaminated or decarboxylated to yield ammonia and amines.[54] Hill et al.[55,56] reported that E. coli is the main amine producer and that feeding LAB significantly reduced amine formation in young pigs. In general, ammonia and amine formation is seen as a harmful process of the gut microbes, and the prophylactic effect of antibiotics is believed to be based on lower production of these N compounds.[4] Urea is formed in the N turnover of tissues and is secreted into all parts of the GI tract in digestive juices or straight across the luminal wall.[57] It is likely that the microbes in close association with the epithelium degrade urea and liberate ammonia in the lumen. Ammonia may be incorporated into bacterial N or absorbed and converted back to urea by the liver for urinal excretion or recycling into the gut. This enterohepatic circulation of urea[58] demands energy from the host and may irritate the gut mucosa. However, in the cases of low N intake, this process might conserve nitrogen for the host.[23] 3.

Lipids

The intestinal microbiota contributes to lipid metabolism of the host in two different ways: first, bacteria can digest dietary and endogenous lipids by lipases and hydrogenate the free fatty acids, and second, they can deconjugate bile acids and modify cholesterol metabolism (Table 1). The apparent digestibility of fats may be decreased by the activity of bacteria, since hydrogenated fatty acids are less absorbable than unsaturated ones, but evidently also due to the de novo fat synthesis in the large gut. Free bile acids are conjugated with taurine, glycine, sulfate, or glucuronide. The primary bile acids are deconjugated by the gut microbiota, among others by lactobacilli and bifidobacteria,[59] to less soluble and less absorbable secondary products.[60]

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Hoang-Dung TRAN and friends The secondary bile acids are partly converted to tertiary bile products by the gut microbiota and hepatic enzymes, and they may be toxic to the host. The gut microbiota is also involved in the cholesterol metabolism, because bile acids are synthesized from cholesterol, although the mechanism has not thoroughly been studied in pigs or calves. Evidence from the other species suggests that the gut microbiota decreases the body pool of cholesterol by catabolizing and making it less absorbable.[61] Many attempts have been made to reduce serum cholesterol, considered an additional risk factor for coronary heart disease by intake of LAB products. Some trials have been successful, but response has been lacking in others.[62]

C.

Gut Wall Function

The gut wall in all parts of the intestine is organized in a special way. The folded mucosa is clothed by finger-like projections, villi, which are in turn clothed by absorbing enterocytes or mucus-secreting goblet cells.[63] Between the villi exist the crypts of Lieberku¨hn, where epithelial cells proliferate, extending down to the lamina propria (Fig. 1). During migration from the bottom of the crypts to the villus tips, the mucosal cells differentiate and mature, during which process the amount of digestive enzymes increases.[64] The results obtained from studies comparing germ-free and conventional animals show a marked interaction between microbiota and the structure of the intestinal mucosa.[65,66] In general, germ-free animals possess longer villi, shallower crypts, and, as a result of these morphological differences, higher enzyme activity than their conventional counterparts. According to the suggested mechanism, the gut bacteria per se or their metabolites increase the rate of mucosal cell renewal.[67] According to Visek,[68,69] the products of

Figure 1

Photographed jejunal and ileal mucosa of a weaned pig describing mucosal architecture. Tissue slices stained for light microscopy (16) with hematoxylin and eosin: (a) jejunum, (b) ileum.

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Hoang-Dung TRAN and friends bacterial nitrogen-metabolism, ammonia and amines, have a harmful influence on the mucosal structure. Hampson,[70,71] Miller et al.[72] and Cera et al.[73] have demonstrated in piglets a sharp decrease in villus length and an increase in crypt depth after weaning, and evidently the radical change of the gut microbiota connected to weaning contributes to this phenomenon. Sakata[74] demonstrated in rats that intraluminally infused VFA accelerate the crypt cell production rate and increase gut wall mass. The stimulation was most efficient with butyrate. The effect may be systemic rather than local, since cecally administered VFA enhanced crypt cell production rate in jejunal samples. Roediger[75] reported that in rats and humans butyrate is even preferred to glucose as an energy source for colonocytes. Hill and Cowley[76] demonstrated longer crypts and lower numbers of mature goblet cells in the colons of mice equipped with a normal microbiota in comparison to their germ-free counterparts. On the other hand, dietary antibacterials, which obviously decrease the activity of the gut microbiota, have been shown to decrease the gut wall mass and stimulate nutrient absorption.[68,5] Yen et al.[77] among others, noted in young pigs that gut wall mass is reduced by dietary antibacterials. They later speculated[78] that this might lead to lower fasting energy consumption because the intestinal epithelium is one of the most active tissues in the body.

D.

Gut Immune System

Gut-associated lymphatic tissue (GALT), existing immediately under the outer cell layers of the mucosa, forms the first host-specific defense barrier against the antigen exposure of harmful bacteria and other antigens in the diet (for reviews, see, e.g.[79 – 81]). The secretory immunoglobulins of GALT (mainly sIgA, with sIgG also present) are complexed with the goblet cell mucine and are the main specific protecting mechanism. The lymphocytes that secrete IgA arise in the Peyer’s patch lymphoid regions. The secretory IgA is in a dimeric form, possessing a specialized peptide j-chain, which binds the heavy chains of the immunoglobulin. It is believed that the IgA system is activated by the local antigens near the mucosal surfaces.[82] The epithelial cells synthesize a receptor for this peptide known as a secretory component, facilitating the binding of IgA to the mucin and distribution over the external mucosa as a protective layer. Macrophages and cytotoxic T cells are responsible for the cell-mediated immune reactions of the gut. It is obvious that the gut microbiota and GALT interact together in an important manner, since antibodies regulate the colonization of microbes on the epithelium. On the other hand, certain indigenous gut bacteria can exist in close association with this mucin-antibody “painting,” evidently contributing to the defense effect. Moreover, the normal microbiota of the gut is believed to stimulate the immune defense of the GALT. It is not known how the GALT system distinguishes between indigenous bacteria and harmful pathogenic bacteria, which do not belong to the normal habitat of the gut. Savage[21] speculated that indigenous microbiota may have common antigens with the host. III.

THE POTENTIAL AND POSSIBLE MODES OF ACTION OF LAB AS BIOLOGICAL PERFORMANCE ENHANCERS – PROBIOTICS

A.

Competitive Exclusion

The pioneering evidence of the competitive exclusion concept was obtained from chickens by Nurmi and Rantala.[83] Newly hatched birds do not obtain the normal gut microbiota of the adult, due to modern management methods. Since a normal microbiota is lacking, the

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Hoang-Dung TRAN and friends intestines of the birds are easily colonized by pathogens, most often by salmonellae or coliforms. It is rare that the infected broilers get sick due to Salmonella, or even show decreased growth, but as opportunistic organisms Salmonella might contaminate poultry food products. When chickens were inoculated just after birth by the fecal contents of an adult bird, the frequency of Salmonella infections was radically reduced and the number of Salmonella needed to colonize the ceca of the birds increased. Much work has been directed to describe the exact components of competitive exclusion (for reviews see Refs.[84 – 86]). According to Impey and Mead[87] the main factors are competition for the receptor site on the gut wall, production of VFA and/or other antibacterial substances by the anaerobic microbiota, and competition among different bacteria for limiting nutrients. The specific role of LAB as a probiotic for live poultry was extensively discussed by Juven et al.[88] Competitive exclusion has not been studied in pigs or calves as such, partly due to the management differences between these animal species, but treatment with selected gut bacteria, mainly LAB, has been examined in detail during the past decades. Fuller[12] listed the possible modes of action of such selected probiotics as follows: (a) suppression of viable counts of pathogens and harmful bacteria, (b) alteration of microbial metabolism (enzyme activity), and (c) stimulation of the immune response (see also Table 2).

1.

Antagonism: Production of Organic Acids or Specific Antibacterials

LAB produce many kinds of metabolites, which might affect the other microbes in the gut. Lactic acid produced by both homolactic and heterolactic strains reduces the pH in the luminal contents, which is most obvious in the stomach of neonatal piglets.[89,47] Moreover, acetic acid and H2O2 excreted by heterolactic strains may be

Table 2

Proposed Mechanisms of Beneficial and Detrimental Effects of LAB Probiotics

Response Beneficial Suppression of harmful bacteria

Microbial/host metabolism

Improved immune response of host

Proposed mechanisms

Main site of action

(1) Production of antibacterial compounds

S,SI

(2) Competition for nutrients (3) Competition for colonization sites (1) Production of enzymes that support digestion (e.g., lactase) (2) Decreased production of ammonia, amines or toxic enzymes (3) Improved gut-wall function (1) Increased antibody levels

(2) Increased macrophage activity Detrimental Competition for nutrients with (1) Consumption of glucose host (2) Consumption of amino acids S ¼ stomach; SI ¼ small intestine; LI ¼ large intestine. Source: Adapted from Refs.[12,87]

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S,SI,LI S,SI S,SI SI,LI

SI,(LI) SI,(LI) S,SI S,SI

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Hoang-Dung TRAN and friends toxic to some other bacteria.[90] It is well documented that organic acids and H2O2 produced by LAB are inhibitory against coliforms, salmonellae, and clostridia in vitro, but convincing in vivo evidence is still lacking. Several high molecular antibacterials, such as acidophilin, acidolin or reuterin and nicin, have been described as being produced by lactobacilli and streptococci in vitro, respectively.[88,91] However, there is limited evidence that such substances can really be active in the intestines, and many researchers believe that the inhibitory effects are accounted for by the lower pH, organic acids, or hydrogen peroxide. Klaenhammer[92] suggested that the significance of Lactobacillus bacteriocins against undesirable intestinal organisms is questionable because of the narrow range of activity of these compounds. Although the mechanisms of antagonistic properties of LAB are somewhat uncertain, there is some evidence that such a phenomenon takes place in the gut (Table 3). Muralidhara et al.[34] treated piglets immediately after birth with a human isolate of Lactobacillus lactis. A clear coliform-suppressing response in fecal samples was noted, but the number of lactobacilli was not affected. Moreover, after the treatment was stopped, a continued reduction of coliform numbers was observed. Ratcliffe et al.[93] fed piglets from 2 days of age with L. delbrueckii ssp. bulgaricus or L. reuteri fermented milk or nonfermented control milk. Both types of fermented milks decreased the numbers of coliforms and pH throughout the intestines. Since lactic acid added to the control milk gave similar results, the authors concluded that the favorable effects of fermented diets were due to the lower pH produced by lactic acid. Underdahl[94] inoculated gnotobiotic pigs with three virulent strains of E. coli, all of which developed severe diarrhea. Treatment with Enterococcus faecium reduced the severity of diarrhea, and treated pigs recovered earlier and gained weight normally compared to their untreated littermates. The better performance of treated pigs was associated with a lower number of both organisms in the small intestine and cecum. Ozava et al.[95] treated piglets and calves reared on an antibiotic-containing diet with E. faecalis and noted increased numbers of lactobacilli, streptococci, and bifidobacteria in the feces of experimental animals. In addition, yeasts and salmonellae were suppressed due to the treatment. Barrow et al.[26] showed decreased counts of E. coli in the stomach of piglets fed a combination of S. salivarius and L. fermentum. Treatment with L. delbrueckii ssp. bulgaricus in pigs showed that the organism produced a substance that seemed to neutralize the effect of enterotoxin released from coliforms.[96] Additional evidence of the

Table 3

Data Supporting the Antagonistic Properties of LAB Against Harmful Gut Bacteria

Target host Small piglets Small piglets Gnotobiotic pigs, E. coli challenged Small piglets Pigs Pigs, calves Calves

Organism L. lactis L. reuteri L. bulgaricus S. faecium S. faecalis L. fermentum S. salivarius L. bulgaricus L. acidophilus

Response

Refs.

Decreased E. coli in feces Decreased pH and E. coli in the gut

[34] [93]

Decreased E. coli Less scours Increased LAB and bifidobacteria Suppressed salmonella, and yeasts Decreased E. coli in stomach

[94]

Neutralized E. coli toxin Suppressed E. coli

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[95] [26] [96,97] [46]

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Hoang-Dung TRAN and friends antienterotoxic property of LAB was obtained from trials with calves by Schwab et al.[97] Gilliland et al.[46] observed lower numbers of coliforms in the ileum of calves fed with host-specific L. acidophilus. In spite of many observations supporting the antagonistic properties of LAB, negative results also occur. Pollmann et al.[98,99] did not observe any effect on the fecal microbiota of L. acidophilus –treated piglets. It is noteworthy, however, that the fecal sample is probably not a valid indicator of the intestinal ecosystem.

2.

Adhesion

Adhesion or close association of LAB probiotics to the epithelial cells may further contribute to competitive exclusion. First, LAB that grow relatively slowly but attach to the gut wall can transiently colonize and inoculate the luminal contents. This seems to be obvious, for example, in the stomach of pigs[26] and in the crop and cecum of chickens.[100,101] Second, if LAB occupy the adhesion receptors on the surface, the harmful bacteria relying on them may be eliminated from the gut (Fig. 2). This is, of course, a valid principle only if pathogens and LAB have parallel attachment mechanisms. Davidson and Hirsch[102] blocked the colonization of pathogenic E. coli K88 with a nonpathogenic E. coli strain. Similarly, Lactobacillus cells or cell wall fragments were reported to prevent adhesion of E. coli on human uroepithelial cells.[103,104] The association mechanisms of intestinal bacteria in general and of LAB on the gut surfaces have been discussed by Savage.[105] Gram-negative bacteria, e.g., pathogenic E. coli, attach to the target cells via proteinaceous projections (fimbriae), but lactobacilli seem to adhere to the gut wall with extracellular substances containing polysaccharides,

Figure 2

Two host-specific Lactobacillus strains differing in their ability to adhere to the epithelial cells of the small intestine of a pig: (a) adherent, (b) nonadherent.

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Hoang-Dung TRAN and friends proteins, lipids, and lipoteichoic acids. The role of the latter was discussed in detail by Tannock.[106] Lipoteichoic acids are glycerolphosphate polymers of the cell wall of lactobacilli, covalently linked with glycolipids, containing both hydrophilic and hydrophobic regions. Sherman and Savage[107] detected macromolecular protein complexes rich in lipoteichoic acids in Lactobacillus strains, some of them known to associate with epithelial surfaces. Appearance of acidic carbohydrate-rich material between attached bacteria and epithelium was also supported by the findings of Brooker and Fuller[108] with electron microscopy. Lipoteichoic acids may also participate in attachment of streptococci to mammalian cells.[106] Wadstro¨m et al.[35] observed a number of Lactobacillus strains from the small intestine of pigs containing carbohydrate capsule polymers and possessing high hydrophobicity. Heat and protease treatment impaired these surface functions. They considered capsule formation to be the most important determinant of the intestinal colonization of lactobacilli in pigs. Henriksson et al.[109] reported that the adhesive determinants of Lactobacillus fermentum on the porcine gastric squamous epithelium are proteinaceous, although carbohydrates seemed also to be involved. Attachment ability of the rough and smooth variants of L. fermentum differed; the former was lacking the adhesion protein. However, it was hypothesized that during colonization the rough variant is needed to reach the epithelium and the environmental conditions induce the growth of smooth variant, which in turn binds efficiently to the mucosa. Knowledge of the adhesion properties of LAB has been markedly increased during recent years, but many microbe-epithelium interactions other than those mentioned above certainly exist in the gut. The role of the components of goblet cell mucin (e.g., sialic acid) has been speculated to be the key factor in the mucosal association of the nonpathogenic intestinal bacteria. The general importance of adhesion for the competitive exclusion and probiotic concept needs further study.

B.

Alteration of Microbial and Host Metabolism

Lactobacilli are claimed to affect the cholesterol metabolism of the host (Table 4). Gilliland et al.[110] treated pigs with a Lactobacillus acidophilus strain selected for its ability to grow well in the presence of bile and to assimilate cholesterol in vitro. The treatment inhibited the increase in serum cholesterol on a high-cholesterol diet. Similar results was obtained by Danielson et al.,[111] who treated mature boars with L. acidophilus screened in vitro for anticholesteremic and antimicrobial activities. Furthermore, treatment of laying hens with a mixture of LAB and fungi was shown to reduce the cholesterol level in eggs.[112] Deconjugation of bile acids by lactobacilli, as reported by Gilliland and Speck,[113] might be inhibitory to some other intestinal bacteria inhabiting the lower small intestine and colon. Fernandes et al.[114] reported that addition of physiological concentrations of free bile acids to the growth medium decreased the growth and antimicrobial activity of L. acidophilus. Observations of Tannock et al.[115] revealed that bile salt hydrolase activity in the ileum of mice was reduced by 86% or 98% in the absence of lactobacilli or both lactobacilli and enterococci, respectively, compared to conventional animals. Besides affecting cholesterol and bile acid metabolism, LAB are claimed to reduce the intestinal production of harmful nitrogen compounds. Pigs fed L. acidophilus– fermented milk showed less intestinal amine production than the pigs fed untreated control milk.[55] Also, the major site of amine production changed from the small intestine to the cecum in the treated pigs. When various gut bacteria were tested in vitro, E. coli was

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Table 4

Data Supporting the Beneficial Shifts in Microbial or Host Metabolism by Feeding LAB Probiotics Target host

Probiotic

Pigs

L. acidophilus

Calves

L. acidophilus

Pigs Humans

L. acidophilus

Humans

L. acidophilus

Humans Rats

L. rhamnosus þ Propionibacterium freudenreichii L. bulgaricus

Chicks

Lactobacillus sp.

Pigs

Lactobacillus sp.

Pigs

Lactobacillus sp.

Response

Refs.

Decreased serum cholesterol Formation of inhibitory bile acids Decreased amine production Decreased production of carcinogenic N compounds Reduced fecal mycotoxin level Hydrolytic enzymes which improve digestion Increased amylolytic activity Improved b-glucan hydrolysis Increased activity of brush-border enzymes

[110] [113] [55,117,118] [46,117]

[157] [119]

[120] [121] [123]

noted to be the most efficient amine producer in pigs.[56] The carcinogenic fecal enzymes b-glucuronidase, nitroreductase, and azoreductase were reported to decrease in humans on a L. acidophilus–containing diet.[116,117] Intestinal production of free amines was noted to decrease in rats administered aromatic nitro- and azo-compounds as well as an amineglucuronide compound.[118] Ingested LAB produce and release hydrolytic enzymes, which might aid digestion in farm animals, particularly during the early life of calves and piglets. Humans suffering from b-galactosidase deficiency may digest lactose in yogurt better than the same amount of lactose in milk. Indeed, rats fed yogurt had increased b-galactosidase activity in their small intestines and the enzyme seemed to be of bacterial origin.[119] Some observations suggest that lactobacilli could contribute to the digestion of more complex carbohydrates than lactose. Champ et al.[120] isolated three Lactobacillus strains from chicken crop, which showed amylolytic activity. The best amylolytic strain resembled L. acidophilus, producing maltose, maltotriose, and traces of glucose from amylopectin. Optimum pH and temperature of the amylase were 5.5 and 558C, respectively. Jonsson and Hemmingsson[121] found b-glucan degrading lactobacilli up to 108 CFU/g from the feces of 3- and 35-day-old piglets fed a creep diet containing 2% b-D -glucan. Glucanolytic probiotics might be very useful in the diets of poultry and pigs containing barley and oats, because host enzymes evidently cannot degrade b-D -glucan and because it interferes with starch digestion. Probiotics containing LAB might also affect the levels of the host brush border enzymes, as speculated by Parker.[122]. Collington et al.[123] fed piglets with antibiotics

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Hoang-Dung TRAN and friends or LAB probiotics and reported increased lactase and sucrase activities in the small intestinal mucosa with both treatments. It may be speculated that the effect of both treatments was not direct, but was due to lower production of harmful bacterial metabolites, which irritate the mucosa and affect the life span of the enterocytes. In contrast, Whitt and Savage[124] found no direct influence by several indigenous lactobacilli on the enzyme activities of the duodenal enterocytes in germ-free and ex – germ-free mice. This led the authors to conclude that any beneficial effects of probiotic bacteria on the function of gut mucosa may result from the interaction with the whole microbiota inhabiting the lumen (e.g., pathogens).

C.

Stimulation of Immunity

An example of the interaction between microbes and the immune system is furnished by conventional animals equipped with a complete indigenous microbiota, which have higher immunoglobulin levels and phagocytic activity than their germ-free counterparts.[125] Therefore, it has been suggested by many authors on the basis of encouraging research results that probiotic bacteria could enhance immunity both locally on the mucosal surfaces and at the systemic level. E. faecium used as a monoassociate to germ-free mice reduced the counts of Salmonella (intravenous challenge) in the spleen, implying a systemic response.[126] In contrast, Kluber et al.[127] did not observe any responses in in vivo cell-mediated immunity in artificially reared piglets treated with E. faecium. Per os administration of L. acidophilus and L. casei increased phagocytic function of macrophages in mice.[128] Moreover, L. acidophilus and S. thermophilus activated macrophages and lymphocytes, whether given perorally or intraperitoneally.[129] Macrophage activation was also noted by Saito[130] with L. casei in mice. Lessard and Brisson[131] fed piglets rehydrated skim milk powder fermented with a mixture of lactobacilli and reported slightly increased serum IgG levels. A local immune enhancement with LAB was reported by Perdigon et al.[132] in mice. Oral intake of L. casei increased the IgA production secreted to the intestinal lumen, providing mucosal defense against Salmonella typhimurium. These examples suggest that LAB can modulate immunity. However, there is little evidence whether this kind of response can be obtained in commercial circumstances where animals harbor a complex microbiota in their intestines. IV.

SELECTION CRITERIA FOR LAB TO BE USED AS PROBIOTICS

Many potential improvements in animal performance may be achieved with LAB probiotics, as demonstrated by the research examples above, but the responses obtained in field trials may vary. Much of the discrepancy between basic concepts and real life is obviously accounted for by the characteristics of the strains used, and therefore anyone aiming to develop a good probiotic has to carefully evaluate the selection criteria. LAB probiotics for animal use marketed so far are freeze-dried bacteria, often belonging to the genera Lactobacillus spp. or Enterococcus spp. Often the strains used are suitable intestinal bacteria or dairy starters, but products based on host specificity also exist. A number of criteria must be fulfilled by any successful probiotic. The main criteria used in the authors’ laboratory are listed in Table 5 (see also Refs.[12,133]). First, a probiotic must be a nonpathogenic representative of the normal intestinal microbiota, most preferably host specific, and it must maintain its activity in the presence of high acidity in the stomach and high concentration of bile salts in the small intestine. Second,

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Table 5

Criteria Used in the Authors’ Laboratory for Screening Probiotics

Method

Basis

1. Acid tolerance

Survival during passage through the stomach and duodenum Survival during passage through the upper small intestine Production of efficient “acid barrier” in the upper gut Competition with pathogens Efficient colonization, exclusion of other microbes from adhesion sites Survival during pelleting of creep feed Use possible with medicated feed Strain stability, growth on large scale, survival in product

2. Bile tolerance 3. Acid production (from glucose and lactose) 4. Production of antimicrobial substances 5. Adhesion of intestinal mucosa 6. Heat tolerance 7. Tolerance of feed antimicrobials 8. Good technological properties

a good probiotic must be able to grow and metabolize rapidly and exist in high numbers in the gut. Third, an ideal probiotic strain may colonize some part of the gastrointestinal tract transiently, for this adhesion to the mucosal surface is desirable. Fourth, it must produce organic acids efficiently and should have specific antimicrobial properties against harmful bacteria. Finally, it must be easy to produce, survive growth in a large-scale production system, retain its viability under storage and field conditions, and be cost-effective to use in farm animals. There exists no one strain that completely fulfills all these criteria. Much variation in selection variables can be observed among isolated gut lactobacilli, as judged by our own experience (Table 6). In practice, the choice of an economically feasible probiotic is always a compromise between microbiological, production, and performance-promoting properties of the strains tested. A.

Acid and Bile Tolerance

High acidity in the stomach and high concentration of bile components in the proximal small intestine are the first host attributes that affect the strain selection. Conway Table 6

Selection Characteristics of LAB Strains Isolated from Intestines or Feces of Pigs in the Authors’ Laboratory Strain type

N

Lactic acid productiona

L. acidophilus L. fermentum L. delbrueckii Lactobacillus sp.e

15 25 4 13

0.39– 1.33 0.38– 1.68 0.60– 1.20 1.03– 2.07

% L/D lactate

Heat toleranceb

% Bilec tolerant

% Acidd tolerant

50 –100 47 –93 47 –63 39 –70

60.4 – 69.5 62.5 – 69.5 64.0 – 65.4 65.5 – 69.0

40 44 — 39

30 88 — 92

a

MRS broth, 1% glucose. Maximum temperature fully tolerated for 6 minutes. c MRS broth, 0.3% Oxgall, no inhibition. d MRS broth, pH 4.00, good growth. e Adhesion to small intestinal cells of pig observed.[158] b

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Hoang-Dung TRAN and friends et al.[134] incubated LAB strains in phosphate-buffered saline at pH 1, 3, and 5 for 0 –4 hours at 378C to screen human strains for their ability to survive in the stomach. Aspirated stomach juice obtained through a nasogastric tube after a 4-hour fast was used in this study. The strains detected showed variable survival with this method, and it was reported to be a valid tool to find potential microbes. Jonsson et al.[135] used fistulated pigs to test the in vivo survival of orally fed lactobacilli during transit through the upper tract. The cannulas were inserted distal to the pylorus and in the terminal ileum. Gilliland et al.[136] observed great variability among L. acidophilus strains isolated from calf intestinal contents in their ability to grow in vitro in the presence of bile salts. When a strain exhibiting low tolerance to bile and another strain exhibiting high tolerance to bile were administered orally to calves, the more resistant strain caused a greater increase in numbers of facultative lactobacilli than the one possessing low tolerance.

B.

Production of Antimicrobial Substances

The in vivo evidence for the production of specific bacteriocins by LAB is limited, and subsequently the spectra of these substances seem to be quite narrow. Moreover, due to methodological difficulties (e.g., pH elimination), the preferred method might be to screen the candidate strains for their ability to produce organic acids. Most commonly simple sugars, such as glucose or lactose, are used as carbon sources. Production of H2O2 can also be used, as was done, for example, by Jonsson and Olsson.[137] C.

Adhesion and Growth in the Gut

The problem of adhesion stems from the basic controversy as to whether strains are fed continuously or just once. In the latter case, good adhesion is a crucial property for the transient colonization of the probiotic. Additionally, attachment of probiotics to the gut wall may block the colonization of harmful bacteria on the mucosa. The adhesion test is usually made by incubating the strain and intestinal cell suspension together, and then verifying the binding by visual judgment with a microscope (see Fig. 2). Since visual judgment is not an objective method, radiolabeled cultures have been used by some authors. The test methods have been described by Fuller et al.[25] and Conway et al.[134] among others. Although the existence of mucosally attached microbes has been experimentally proven, and thus adhesion provides a sound basis for the development of probiotics, much argument has been directed against its use. First, during harvesting of epithelial cells variable amounts of mucin are bound to the cells and thus interfere with the assay. In contrast, mucin may be essential for the gut wall association of some bacteria. Although it has been suggested that adhesion is host specific, recent findings put this in doubt.[138] The adhesive strains on the mucosa might vary according to the age and diet of the animal. Jonsson[139] did not observe permanent establishment of a host-specific Lactobacillus strain in pigs, although it adhered in vitro to the squamous epithelial cells. Finally, it may be posited that if the inoculation of the animal is not done immediately postpartum, the indigenous microbiota developed near the mucosa resists the attachment of the probiotic bacteria. Because of the above options, it would seem that the best method of using probiotics is continuous inoculation. However, even with continuous feeding it is still important to screen the probiotic candidates according to their ability to survive and grow in the gut, and attachment ability is also a recommended feature. There exists limited knowledge

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Hoang-Dung TRAN and friends of the minimum effective dosage of probiotics when they are administered continuously. The fact that viable counts of probiotic organisms are found in feces is not proof of proliferation or metabolism during passage through the tract. Although it appears, according to the literature and our experimental data, that 106 – 107 CFU/g feed is necessary for a consistent effect, it may be reasonable to conclude that the effective dosage appears to be a strain-specific feature depending on survival and adhesion properties and the specific growth rate of the organism.

D.

Feed Antimicrobial Resistance

Probiotics are often mentioned as natural substitutes for feed antibiotics, but in some cases it may be feasible to combine probiotic and antibiotic treatments to obtain an extra advantage. As stated above, the natural microbiota resists the invasion of both harmful and probiotic bacteria. If the natural microbiota is weakened by the use of a feed antimicrobial, the probiotic bacteria may be more easily established in the guts of target animals. There exist some preliminary results in the authors’ laboratory that support this idea. On the other hand, by combined treatment the level of antibiotics needed could decrease. According to Pollmann et al.[99] a Lactobacillus culture in combination with lincomycin may have an additive effect. Harper et al.[140] treated growing swine with a Lactobacillus probiotic or virginiamycin or both, but no interaction between treatments occurred. However, the viability of the cultures in the medicated feed was not monitored. Dutta and Devriese[141] investigated the minimal inhibitory concentrations of some commonly used feed antimicrobial agents against lactobacilli isolated from pigs, cattle, and poultry. The percentage of resistant strains of all isolates varied in pigs, cattle, and poultry between 2 and 70, 10 and 95, and 8 and 83, respectively, depending on the drug and suggesting a potential for the combined treatment of antibiotics and LAB probiotics. E.

Technological Properties

The production process of probiotics involves mass growth in fermentors, concentration, and subsequently, in most cases, freeze-drying steps. Probiotics may be used as highactivity (108 – 1010 CFU/g) dry preparations with a dosage of a few grams per animal per day, or they may be mixed at the rate of 106 –107 CFU/g in the meal diet, often followed by pelletizing. In the latter case the probiotics must tolerate heat (60 – 808C, 5 –10 min) and extremely high physical pressure. As far as the authors’ know, there exists no Lactobacillus strain that tolerates pelletizing in an economically feasible way. However, enterococci (e.g., E. faecium), having smaller cell size and being easier to produce, are much more resistant than lactobacilli to pelletizing. This may be one reason why most commercial probiotics to date are enterococci.[15] Pollmann and Bandyk[142] determined the stability of three commercial Lactobacillus products in nonmedicated and medicated (lincomycin) piglet starter feed stored for 3 months in different environments. The samples stored in a refrigerator maintained their stability relatively well during the trial. However, the activity of the samples stored in a pig nursery dropped substantially within the first week, and at the end of the trial there was no viability left in some samples. It was also noted that activity loss was slightly greater in the medicated feed. Alaeddinoglu et al.[143] studied the activity-loss kinetics of freeze-dried Lactobacillus cultures and pointed out the importance of optimizing the type and concentration of cryoprotectants during drying. Kearney et al.[144] improved viability of

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Hoang-Dung TRAN and friends L. plantarum inoculum after lyophilization and rehydration by immobilizing the cells in calcium-alginate beads containing cryoprotectants. Many other attempts (e.g., microencapsulation) have been made to improve survival of probiotic preparations, and some have been successful.[145]

F.

Mixed Probiotics

Although the probiotic concept is theoretically a sound method for supporting animal performance without antibiotics, it is not simple to introduce the right bacteria strains at the right time to the right animal in a biologically and economically efficient way. Another way of thinking is to find substrate(s) that could create a selective pressure on the normal gut microbiota, especially in the large intestine (prebiotics). This means that the animals select their beneficial microbes in situ. Lactulose and lactitol are synthetic disaccharides made industrially from lactose by several isomerization and hydrogenation steps, respectively. The molecules of lactulose and lactitol are composed of galactose with fructose and sorbitol, respectively, connected with a specific b-galactosidic linkage. Many studies suggest (reviewed by Harju[146]) that small intestinal b-galactosidases of mammalian origin split the linkage inside the lactulose or lactitol molecules very little. As a consequence, lactulose and lactitol escape small intestinal digestion and absorption and are fermented by colonic bacteria into organic acids and gases, which lowers the colonic pH and ammonia content. This fermentation may also cause a positive shift in the colonic microbiota, because enzymes of certain strains of lactic acid and bifidobacteria have been shown to degrade lactulose and lactitol better than those of coliforms and clostridia.[147] We have extensively studied the possibility of using these sugars as probiotics in piglets and calves as such, as a mixture, or in combination with selected strains of lactobacilli and enterococci.[148,149] Such mixed pre- and probiotics (synbiotics) may provide several advantages compared to simple usage of LAB strains: (a) the effect of the treatment extends to the whole tract; (b) the preparations are not too sensitive to the feed manufacturing processes; and (c) the competition force of the probiotic strains can be improved by screening for their ability to use nonabsorbable sugars as carbon sources. According to the data available, these sugar-LAB combinations appear to have an advantage compared to simple LAB probiotics in the treatment of young farm animals. V.

THE REGULATORY STATUS OF ANIMAL PROBIOTICS

While the use of conventional, genetically nonmodified LAB in various human applications has not been particularly regulated, the situation is different with microorganisms intended as animal feed additives. The regulatory situation has been reviewed by Feord.[150] In the United States the situation appears to be relatively simple. The so-called directly fed microbials permitted for use are listed by the Association of American Feed Control Officials (AAFCO) and reviewed by the FDA Center for Veterinary Medicines. In the European Union (EU) there exists a thorough regulatory framework to ensure both the efficacy and safety of microorganisms intended as feed additives. The relevant directives are Council Directive 70/524/EEC and 87/53/EEC, the latter defining the guidelines for the assessment procedures. Further specifications for the authorization process are defined in additional directives 93/113/EEC and 94/40/EEC. The assessment guidelines are regularly reviewed and updated by the Scientific Committee on Animal Nutrition (SCAN).

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Hoang-Dung TRAN and friends Since 2003 SCAN has been replaced by the Panel on Additives and Products or Substances in Animal Feed in connection with the European Food Safety Authority (EFSA). For permanent authorization both efficacy and safety of the additive must be established, while only demonstration of safety is necessary for a temporary authorization for products already on the market. Safety assessment includes safety for the target species, the user, and the consumer. For the target species safety is demonstrated by a tolerance test using a 10-fold overdose for a minimum of one month (depending on species and animal category). Irritancy and sensitization tests must be performed to ensure the occupational safety aspects, while genotoxicity tests and 90-day toxicity studies are required to prevent undefined potentially harmful microbial products from entering into the food chain. These latter requirements are relatively new (established in 2001), and it remains to be seen how they can be implemented in practice. An aspect that has received much attention and detailed guidelines from SCAN is the exclusion of transmissible antibiotic resistance markers from microorganisms intended as animal feed additives. The microbial preparations so far temporarily approved in the EU are listed in Table 7.

VI.

ZOOTECHNICAL TRIALS WITH LAB AS PROBIOTICS

A.

Pigs

The three main probiotic types tested in pigs are nonviable and viable Lactobacillus (mainly L. acidophilus) or viable Enterococcus faecium. The probiotics were mixed in the diet (starter piglets, growing-finishing pigs) at the rate of 104 – 107 CFU/g, or the liquid diet (milk) was fermented with the probiotic strain. In very few cases more than one strain was used and most of the strains were lacking host specifity. Of the 39 piglet trials summarized in Table 8, 25 positive responses over the control were obtained with probiotics, but a significant response were recorded only in 9 trials (p , 0.05). In contrast, negative results were monitored in 11 trials, 4 being statistically significant at the 5% level. Feed conversion was improved in 12 trials, and in 10 trials probiotic-treated piglets showed worsened feed efficiency. Decrease in feed efficiency has been often associated with fermentation of milk. Far fewer zootechnical trials with LAB as probiotics have been made with growingfinishing pigs, which is not surprising because adult pigs digest their feed better, have improved immunity, and are more resistant to intestinal disorders than young piglets. It appears, however, that slight improvements in performance can be obtained also in adult pigs, but the responses (negative or positive) are of lower magnitude than in piglet trials (Table 9). From Tables 8 and 9 it is not possible to conclude whether Lactobacillus products are better than Enterococcus, or vice versa. In the trials conducted in our laboratory, the use of host-specific strains of L. fermentum and E. faecium alone or in combination with lactulose and lactitol for piglets has been tested on several commercial farms. In five of the seven trials summarized in Table 10, the probiotic treatments gave better responses than controls in terms of improved daily gain, although in trials 3 –7 a chemical growth promoter was included in the diet. Overall improvement was about 5.5% if all trials are evaluated together. Consequently, a slight decrease in mortality was recorded, the mean values being 7.7 and 9.9% for the probiotic and control groups, respectively. According to these data, it can be concluded

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Table 7

Probiotic Preparations with Temporary Authorization as Feed Additives

Microorganism

Registration number

Bacillus cereus var toyoi

NCIMB 40112 CNCM I-1012

Saccharomyces cerevisiae

NCYC Sc 47

Saccharomyces cerevisiae

CBS 493.94

Saccharomyces cerevisiae Saccharomyces cerevisiae Enterococcus faecium Pediococcus acidilactici

CNCM I-1079 CNCM I-1077 ATCC 53519 ATCC 55593 CNCM MA 18/5M

Enterococcus faecium

NCIMB 10415

Enterococcus faecium

DSM 5464

Lactobacillus farciminis Enterococcus faecium

CNCM MA 67/4R DSM 10663/NCIMB 10415

Saccharomyces cerevisiae

MUCL 39885

Enterococcus faecium

NCIMB 11181

Enterococcus Lactobacillus Lactobacillus Enterococcus Enterococcus

DSM 7134 DSM 7133 NCIMB 30096 NCIMB 30098 CECT 4515

faecium rhamnosus casei faecium faecium

Streptococcus infantarius Lactobacillus plantarum Bacillus licheniformis Bacillus subtilis

CNCM I-841 CNCM I-840 DSM 5749 DSM 5750

Enterococcus faecium

DSM 3530

a

Species or category of animals Chickens for fattening, laying hens Calves, cattle for fattening Breeding does Rabbits for fattening Piglets, sowsa Rabbits for fattening Sows, piglets Dairy cows Calves, cattle for fattening, dairy cows Sows, piglets Dairy cows, cattle for fattening Chickens for fattening Chickens for fattening Piglets, piglets for fattening Chickens for fattening Pigs for fattening, sows, piglets Cattle for fattening, calves Piglets Chickens for fattening Calves Piglets Piglets Calves Chickens for fattening Piglets Cattle for fattening Calves Piglets Calves Piglets Calves Piglets Calves Calves Pigletsb Sows, pigs for fattening Chickens for fattening Turkeys for fattening Calves Calves

Authorization without a time limit (12.2.2002). Authorization without a time limit (4.11.2000). Source: European Commission on Health and Consumer Protection, November 2002. b

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Table 8

Effect of Lactobacillus and Enterococcus Probiotics on Performance of Unweaned Sucking and Weaned Starter Piglets Performance (% of control) Type and dosage of probiotic L. acidophilus in feed L. acidophilus in feed L. acidophilus, nonviable L. acidophilus, 4  106 CFU/g feed L. acidophilus, 750 mg/kg (trial 1) L. acidophilus, 750 mg/kg (trial 2) S. faecium c 1250 mg/kg (trial 2) L. acidophilus, 4  106/kg L. acidophilus, nonviable Trial 1 Trial 2 S. faecium, 106 (per os) Single 3 Days continuous

S. faecium, 106/g feed L. fermentum, 109/d (host-specific) S. faecium, 2  108 CFU/d L. bulgaricus þ S. thermophilus L. bulgaricus þ S. thermophilus L. reuteri, host-specific S. faecium, 106 CFU/g Antibiotic 106 CFU/g þ antibiotic S. faecium, 106 CFU/g Trial 1 Trial 2 L. acidophilus, nonviable (0.1%) S. faecium, 106/g feed S. faecium, 106/g feed Antibiotic Antibiotic þ S. faecium L. acidophilus, 109 CFU þ S. faecium, 109 CFU, 3 days orally postpartum L. acidophilus, 3  109 CFU/d B. pseudolongum, 3  108 CFU/d E. faecium, 1.1  107 CFU/g feed E. faecium, 7.3  106 CFU/g feed E. faecium, 1.3  1010 CFU/d

Animals Starter Starter Starter Starter Starter Starter Starter Starter

fed fed fed fed fed fed fed fed

Milk replacer fed

0 – 3 weeks Milk replacer fed

Gain

Feed/gain

Refs.

þ10.8 No resp. þ4.7 þ7.2 þ4.5 þ9.7 27.6 21.6

27.2 No resp. 26.4a +0.0 26.7 221.4a 28.7a +0.0

[159] [160] [161] [99] [162]

[140]

28.2

þ4.0

[163]

26.8a

þ9.9

þ0.8 28.3 to þ1.3

þ39.8a [127] 29.5 to þ11.2a

25.7 to 21.6 þ9.7 27.1 11.1a 28.8 221.0a 222.5b þ2.3 þ6.3 þ4.0

þ0.0 to þ3.0 No data No data No data þ18.6a þ19.5 þ48.3 21.8 +0.0 +0.0

Sucking

215.4 þ23.3 þ10.4a Improved þ13 þ24 þ33 þ14.3a

No data 210.4 +0.0 Improved þ2 þ11 þ11 No data

Sucking Weaning Sucking Weaning Sucking Rearing Sucking

þ20a þ8a þ18a þ9a þ3.6 þ5.6 No resp.

No resp.

Sucking 0 – 9 weeks Starter fed Fermented milk Fermented milk Fermented milk Starter fed

Starter Starter Starter Starter

fed fed fed fed

[164] [139] [165] [93]

[166]

[167] [131] [168]

[17]

[169]

28a No data þ2.4 No resp.

[170] [171] (continued )

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Lactic Acid Bacteria as Animal Probiotics

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Hoang-Dung TRAN and friends Table 8 Continued Performance (% of control) Type and dosage of probiotic E. faecium, 3.7  109 CFU/d E. faecium þ L. acidophilus, 5  107 CFU þ S. cerevisiae 2  107 CFU L. reuteri, 2  106 CFU/d L. reuteri, 2  108 CFU/d

Animals

Gain

Feed/gain

Refs.

Sucking Weaning

No resp. þ8

No resp. No data

[172]

Sucking Sucking

þ45b þ31b

234b 234b

[173]

a

Statistically different compared to control (p , 0.05). Statistically different compared to control (p , 0.01). c Streptococcus faecium is currently named Enterococcus faecium. The older designation is still used in the reference. b

that mixed probiotics are superior to simple ones. In trial 3/1991, all the piglets were treated with sulfa just after weaning, which evidently weakened the barrier effect of indigenous microbiota and greatly improved the competitiveness of probiotic bacteria. Markedly better weight gain and lower mortality in the probiotic group could in this particular trial be explained by the competitive exclusion concept. B.

Calves

Table 11 summarizes the results of 17 calf trials conducted between 1978 and 2001 testing the effectiveness of LAB probiotics. Twenty-five experiments showed positive results if judged by the daily gain figures, and in 6 cases the improvement in gain was significant.

Table 9 Effect of Lactobacillus and Enterococcus Probiotics on the Performance of Growing Finishing Pigs Performance (% of control) Type and dosage of probiotic L. acidophilus in feed L. acidophilus, nonviable L. acidophilus, 750 mg/kg S. faecium, 1250 mg/kg L. acidophilus, 4  106/kg (trial 1) L. acidophilus, 4  106/kg (trial 2) L. acidophilus S. faecium S. faecium, 106/g feed a

Animals

Gain

Feed/gain

Refs.

Growing-finishing Growing-finishing Growing-finishing (35 – 95 kg)

þ8.4 þ4.3 21.2

25.8 20.7 20.9

[159] [161] [162]

Growing-finishing

21.2 25.8a

20.9 þ3.1

[140]

(17 –100 kg)

þ1.3

+0.0

Improveda Improveda Improved

No response No response Improved

Growing-finishing Growing-finishing

Statistically different compared to control (p , 0.05).

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[174] [175]

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Table 10

Effect of Host-Specific Lactobacillus and Enterococcus Probiotics on the Performance of Small Piglets

Trial/year

No. of animals, age (weeks)

1/1987

108, 0 – 6

2/1987

102, 0 – 5

3/1991

98, 0 – 11

4/1991

102, 0 – 11

5/1991

189, 0 – 10

6/1991

106, 0 – 11

7/1991

130, 0 – 10

8/1991

50,c 0 – 7

Probiotic type and dosage E. faecium þ L. fermentum (109 CFU/ d) Lactulose þ lactitol (top-dressed) Lactobacillus sp. (109 CFU/d) Top-dressing to starter E. faecium þ L. fermentum, 106 – 107 CFU/g starter E. faecium þ L. fermentum, 106 – 107 CFU/g starter E. faecium þ L. fermentum, 106 – 107 CFU/g starter E. faecium þ L. fermentum (109 CFU/ d) Lactulose þ lactitol (top-dressed) E. faecium þ L. fermentum, 106 – 107 CFU/g starter E. faecium þ L. fermentum (109 CFU/ d) Lactulose þ lactitol L. fermentum (109 CFU/d) þ L. acidophilus (109 CFU/d)

Growth response (% of control)

Mortality (treated vs. control)

þ14.2b

0.0 vs. 1.1

þ1.8

3.9 vs. 6.8

þ15.0b

6.8 vs. 15.9

þ 5.5

6.6 vs. 10.7

25.0

11.6 vs. 12.6

23.5

15.6 vs. 19.5

þ4.7

9.7 vs. 2.7

þ11.2b þ6.0

a

Trials conducted on commercial farms between 1987 and 1991 in the authors’ laboratory. Statistically different compared to control (p , 0.05). c Agricultural Research Centre, Swine Research Station.[176] Note: In trials 3–7 both the control and probiotic diets were pelletized and medicated (50 ppm carbadox) commercial creep starters. b

Interestingly, the overall 11.4% improvement is of the same magnitude as in the reviewed piglet trials (see Table 8). It is also impossible to compare the efficiencies of Lactobacillus and Enterococcus products, because in many cases the exact nature of the treatment was not reported. C.

Ruminants

The addition of LAB to the diet of adult ruminants has been investigated in only a few trials (Table 12). The complex ruminal microbiota forms a barrier that can overcome the probiotic strain, and therefore the effects in rumen fermentation are variable and difficult to interpret. McCormick[151] observed changes in rumen fermentation in one trial, but not in another, when steers were treated with L. acidophilus. Variable data were also presented by Hoyos et al.[152] and Rust et al.[153] about the performance of dairy and beef cattle, respectively. In sheep the use of probiotic yeasts has been shown to improve fermentation efficiency[154] and the production of volatile fatty acids.[155] These beneficial effects are attributed to the oxygen-scavenging ability of yeasts.

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Lactic Acid Bacteria as Animal Probiotics

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Table 11

Effect of Lactobacillus and Enterococcus Probiotics on the Performance of Calves Performance (% of control)

Type and dosage of probiotic L. acidophilus þ L. lactis (ferm. milk) L. acidophilus, 106 CFU/L milk

Animals

Small calves (1 –5 wk) Small calves (0 –3 wk) L. acidophilus Young bulls Lactobacillus fermentation Small calves product (0 –8 wk) Small calves (0 –10 wk) Lactobacillus fermentation Weaned calves product (28 days) Killed Lactobacillus Weaned calves (35 days) Transported calves (28 days) Viable Lactobacillus Transported calves (28 days) E. faecium, 0.5  107/g diet Small calves Lactobacillus sp. Small calves (0 –21 days) E. faecium, 1.0  107/g diet Small calves L. acidophilus, 109 –1010 Small calves CFU/d/calf (0 –7 wk) Small calves E. faecium, 106 CFU/g in MR (0 –8 wk) L. acidophilus, 106 CFU/g in MR Small calves (0 –10 wk) Small calves E. faecium, 1010 CFU/g in MR (0– 5 days) (30 days) Small calves Lactobacillus sp, 0.8– 8.0  106 CFU/g in MR Enterococcus sp, Small calves 0.8– 8.0  106 CFU/g in MR Transported L. fermentum b þ L. delbrueckii b þ lactitol calves (4 –10 wk) L. acidophilus þ S. faecium Young dairy (viable), 109 CFU calves (29 –44 days) L. acidophilus (nonviable), Young dairy 108 CFU/day calves (2 –64 days)

Gain

Feed/gain

Refs.

211.6

No response

[177]

No response

No response

[178]

No response þ5.3

No response No response

[179] [97]

þ28.3a

21.5

28.5

No response

[180]

No response

Impaired

[181]

Improved

Improved

No response

No response

[182]

Improveda 20.3

Improveda No data

[183] [184]

No response 27.6

No response þ1.8

[185] [137]

þ4.1

27.6

[186]

þ0.5

24.0

þ20a

No data

[17]

þ6– 7

24 – 5

[19]

þ3– 4

223

þ15

No data

[176]

þ15

þ2

[187]

þ15

þ12.5

(continued )

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570

Nousiainen et al.

Hoang-Dung TRAN and friends Table 11 Continued Performance (% of control) Type and dosage of probiotic L. plantarum þ P. cerevisiae, 5  1010 CFU/g, 105 CFU/g L. acidophilus, 3  109 CFU/d B. thermophilum þ E. faecium þ L. acidophilus B. pseudolongum L. acidophilus þ L. plantarum L. acidophilus 27SC, 1.85  107 CFU/L L. acidophilus, 108 CFU/day in MR L. acidophilus, 4  106 CFU/g L. acidophilus þ L. casei þ L. plantarum þ Str. faecium 4  107 CFU/g Str. faecium, 4  1010 CFU/g B. bifidum, 4  1010 CFU/g E. faecium þ L. acidophilus (8.8  108 CFU) þ S. cerevisiae (8.8  108 CFU) E. faecium þ L. acidophilus (8.8  108 CFU) þ S. cerevisiae (8.8  108 CFU) þ FOS L. acidophilus þ L. jugarti þ L. casei, 109 – 1010 CFU/d

Animals

Gain

Bull calves 26.5 (1– 6 wk) Calves (1– 8 wk) þ21a Calves (1– 8 wk) þ11.9 Calves (1– 8 wk) Small calves (0– 12 wk) Small calves (0– 12 wk) Bull calves (0– 6 wk) Bull calves (1– 11 wk)

Calves (3 d – 6 wk) Veal calves (1– 6 wk)

Feed/gain þ1.6

[188]

212.7a 23

[169]

þ25a þ5

211.4a 24

þ18

214.6

þ7

No response

[190]

þ3

21

[191]

10

24

6 9 þ30c

24 +0 þ7.8

þ1.6

22.3

Calves (1– 8 wk) Grain diet Grainless diet

Refs.

[189]

[172]

[192] þ2.3 +0

218 210.7

a

Statistically different compared to control (p , 0.05). 109 CFU/d. c Statistically significantly different compared to control (p , 0.01). MR ¼ milk replacer. b

Thus, the most promising area of the digestive tract of ruminants for the function of probiotics appears to be the reticulorumen. As indicated by McCormick,[151] changes in rumen fermentation pattern and digestion can be obtained by feeding of LAB. Moreover, the massive microbial population in the rumen greatly affects the energy and protein utilization and hence the performance of the ruminant. The role of LAB in the lower digestive tract of ruminants is difficult to estimate because very few data are available. It is possible that a ruminant reacts to fermentation in the intestine in a different way than do nonruminant animals. For example, preliminary data in our laboratory indicate that fermentation products (lactic acid, VFA) in the hindgut could decrease feed intake by the ruminant.

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Lactic Acid Bacteria as Animal Probiotics

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Hoang-Dung TRAN and friends

Use of LAB as Probiotics for Ruminants Treatment a

L. acidophilus L. acidophilus þ b L. acidophilus þ E. faecium þ S. cerevisiae c L. acidophilus Bifidobacterium sp. L. faecalis d L. lactis L. acidophilus B. subtilis e L. acidophilus f

Advantage

Ref.

Variable changes in acetic/propionic-ratio in rumen VFA Lowered acetic/propionic ratio, higher VFA and fiber digestion Increased milk yield and milkfat content

[151] [151] [152]

No advantages in feed intake, daily gain, or health (beef cattle)

[153]

No advantages in feed intake, daily gain, or health (beef cattle) Statistically significantly (p . 0.01) higher daily gain and better feed intake, no beneficial effects under stress

[153] [193]

a

2  107 CFU/animal/day. 2  107 CFU/animal/day. c Dosage not reported. d 6  109 CFU/animal/day. e 3.3  109 CFU/animal/day. b

VII.

CONCLUDING REMARKS

The probiotic concept and the components of competitive exclusion have been demonstrated in many studies using, e.g., gnotobiotic models or specific in vitro techniques, in a scientifically sound way. However, the results obtained from animal trials testing the effect of LAB probiotics on the growth and health of farm animals have been quite variable. The overall efficiency of probiotics to date does not reach the level that can be obtained with feed antibiotics, although in some trials positive effects can be noted when LAB are added to medicated feed. One reason for the variable results with probiotics in field trials is certainly the complexity of the phenomenon itself. No improvements in performance can be expected when animals are equipped with a well-functioning gut microbiota adapted to grow in beneficial symbiosis with the host. In contrast, in the presence of any kind of environmental stress (management methods, diet) causing imbalance in the intestinal ecosystem, high-quality probiotics certainly have a potential to boost animal performance. On the other hand, the properties and dosing methods of the preparations used in trials may not have been in line with basic probiotic concepts (e.g., probiotic dosages too low to overcome the barrier effect of the indigenous microbiota or using the wrong types of bacteria). Additionally, the sensitivity of the isolated gut bacteria to the industrial cultivation and the processes of compound feed technology can be a real problem. It has been suggested that LAB may lose their adhesion ability due to disappearance of plasmids during long-term technological usage. Therefore, much attention has to be paid to improving the tolerance and viability of the probiotic bacteria, especially the most promising Lactobacillus strains. The use of synbiotics—a combination of probiotic strains and nonabsorbable sugars—could improve the efficacy of probiotic therapy.[156] Future experience will test

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Hoang-Dung TRAN and friends the validity of this method as a tool for solving the problems stated above and for obtaining more consistent responses with probiotics in commercial circumstances.

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Hutcheson, D.P.; Cole, N.A.; Kreaton, W.; Graham, G.; Dunlap, R.; Pittman, K. The use of a living, nonfreeze-dried Lactobacillus acidophilus culture for receiving feedlot calves. Proc. Ann. Am. Soc. Anim. Sci. West. Sect. 1980, 31, 213. Dew, R.K.; Thomas, O.O. Lactobacillus fermentation product for post-weaned calves. J. Anim. Sci. 1981, 53 (suppl. 1), 483. Kiesling, H.E.; Lofgreen, G.P. Selected fermentation products for receiving cattle. J. Anim. Sci. 1981, 53 (suppl. 1), 483. Kiesling, H.E.; Lofgreen, G.P.; Thomas, J.D. A viable Lactobacillus culture for feedlot cattle. J. Anim. Sci. 1982, 55 (suppl. 1), 490. Burgstaller, G.; Ferstl, R.; Peschke, W. Zum Einsatz von Lactiferm in der Kalbermast. Zu¨chtungskunde 1983, 55, 48. Owen, F.G.; Larson, L.L. Effect of probiocin and starter preparations on calf performance. J. Dairy Sci. 1984, 67 (suppl. 1), 139. Burgstaller, G.; Ferstl, R.; Alps, H. Milchsaurebakterien (Streptococcus faecium M 74) in Kombination mit Avoparcin in Milchaustauschfuttermittel fu¨r Mastkalber. Zu¨chtungskunde 1985, 57, 278. Havrevoll, O.; Matre, T.; Pestalozzi, M.; Storro, K.; Holland, S. Probiotics in feeds for calves. Proc. VI World Conf. Animal Production, Helsinki, 1988; 383. Higginbotham, G.E.; Bath, D. Evaluation of Lactobacillus fermentation cultures in calf feeding systems. J. Dairy Sci. 1993, 76, 615 – 620. Morrill, J.L.; Morrill, J.M.; Feyerherm, A.M.; Laster, J.F. Plasma proteins and probiotic as ingredients in milk replacer. J. Dairy Sci. 1995, 78, 902 – 907. Abu-Tarboush, H.M.; Al-Saiady, M.Y.; Keir El-Din, A.H. Evaluation of diet containing lactobacilli on performance, fecal coliform, and lactobacilli of young dairy calves. Animal Feed Sci. Technol. 1996, 57, 39– 49. Cruywagen, C.H.; Jordaan, I.; Venter, L. Effect of Lactobacillus acidophilus supplementation of milk replacer on preweaning performance of calves. J. Dairy Sci. 1996, 79, 483 – 486. Strzetelski, J.A.; Kowalczyk, J.; Krawczyk, K. Effect of various probiotics on calf performance. J. Anim. Feed Sci. 1998, 7, 241 –244. Das, K.C.; Kamra, D.N.; Pathak, N.N. Effect of lactic acid bacteria in the diet of female crossbred cattle calves fed on grain based or grainless concentrate mixtures. Animal Nutr. Feed Technol. 2001, 1, 69– 77. Prahalada, H.K.; Kamra, D.N.; Pathak, N.N. Effect of feeding Saccharomyces cerevisiae and Lactobacillus acidophilus on nutrient utilization and performance of crossbred cattle calves. Int. J. Anim. Sci. 2001, 16, 103– 107.

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180. 181. 182. 183. 184. 185.

186. 187. 188. 189.

190. 191. 192.

193.

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Hoang-Dung TRAN and friends

21 Lactic Acid Bacteria in Fish and Fish Farming EINAR RINGØ The Norwegian School of Veterinary Science, Tromsø, Norway

I.

LACTIC ACID BACTERIA IN FISH DIGESTIVE TRACT

It has been well documented in several investigations that lactic acid bacteria (LAB) are a part of the native microbiota of aquatic animals from hatching onwards (Table 1). The great variation in the frequency of LAB reported in the different studies quoted in Table 1 may reflect that real variation exists between fish species, but these results may also reflect the shortcomings of the methods used to select for and isolate these bacteria. Furthermore, geographical location must also be taken into consideration. In their recent review on probiotic bacteria as biological control agents in aquaculture, Verschuere and coworkers[1] discussed that because LAB normally account for only a marginal part of the intestinal microbiota of fish, it can be questioned if bacteriocins produced by LAB can effectively contribute to the health status of aquatic animals. The main reason for not isolating LAB from aquatic animals might be that these LAB from fish are generally slow-growing microorganisms; Ringø and Gatesoupe[2] recommended an incubation time of up to 4 weeks at low temperature (4 and 128C). In addition, as for the human gastrointestinal tract, it can also be expected that a number of LAB representatives are not culturable by existing methods. Before discussing which taxa may or may not be associated with the digestive tract of fish, it is essential to present some information about how LAB isolated from fish have been identified. In most of the investigations cited in Table 1, the classic approach based on morphological and physiological features were used. However, recently several molecular methods, including 16S rDNA,[3 – 9] ribosomal RNA (rRNA) (Ringø and Sperstad, unpublished results), amplified fragment length polymorphism (AFLP),[6,8,9] 581 Copyright © 2004 by Marcel Dekker, Inc. All Rights Reserved.

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Table 1

Lactic Acid Bacteria Isolated from Aquatic Animals Lactic acid bacteria isolated from Whole intestinal tract

Source Lactobacillus spp. Arctic charr

A A A A A A

Atlantic cod Atlantic salmon

Brown trouta Herring

Large intestine

þ

þ

þ

þ

Feces

þ þ þ þ þ

þ

A

þ

[33] [34] [36] [35] [4] [28] [114] [25] [7] Ringø and Bendiksen, unpublished [14] [12] [115] [13]

þ þ

þ þ

þ

þ

þ

þ

þ

þ

[4] [14] [15]

þ

þ

þ þ þ

þ

[4] [16] [9] [14] [18]

þ

A A A

Refs.

þ þ

þ þ þ A

Gills

Ringø

Brown trouta Rainbow trout

Small intestine

þ þ A A

Various fish Lb. plantarum – like Arctic charr Brown trouta Saithe Carnobacterium spp. Arctic charr

Stomach

Hoang-Dung TRAN and friends

Various fish C. divergens – like Arctic charr

Atlantic cod

Atlantic salmon Brown trouta Saithe Wolffish C. funditum –like Arctic charr C. gallinarum –like Arctic cod C. inhibens Atlantic salmon Atlantic cod C. mobile – like Arctic charr Atlantic cod Atlantic salmon Rainbow trout

þ Intestinal contents þ

þ

Intestinal contents A A A J/A L A A A F

þ þ þ

þ þ þ

þb þ þ

þc þ

þ

þ

[19] [17] Ringø unpublished [20] [22] [16] [17] [21] [23] [10] [21] [14] [21] [8]

A

þ

[9]

A

þc

[10]

A

þc

[24] [10]

A A A

þ þc þ

A

þ

þ

LAB in Fish and Fish Farming

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J A

[16] [10] Ringø and Sperstad, unpublished Ringø and Sperstad, unpublished (continued) 583

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584

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Table 1 Continued Lactic acid bacteria isolated from Whole intestinal tract

Source C. piscicola – like Arctic charr Atlantic cod

Atlantic salmon

Brown trouta Fisha Rainbow trout Saithe

þ

A A A A J J

Small intestine

Large intestine

Feces

þ þ þ

þ

þ

Gills

þ þ

þ

þc þ

þ

þ þ

þ

þ

þ

þ þ A J

þ

þ

Refs.

[4] [16] Strøm and Ringø, unpublished Ringø, unpublished [10] [7] [6] Ringø, unpublished Strøm and Ringø unpublished [14] [117] [118] Strøm and Ringø, unpublished Ringø, unpublished

þ

[25]

þ

[14] [26] [14]

Ringø

Turbot Aerococcus spp. Atlantic salmon Enterococcus spp. Brown trouta Common carp E. durans – like Brown trouta

A A A

Stomach

Hoang-Dung TRAN and friends

A

þ

Ringø and Sperstad, unpublished

E. pseudoavium – like Atlantic salmon

A

þ

Ringø and Sperstad, unpublished

[26]

þ

E. faecium – like Common carp E. gallinarum – like Atlantic salmon

A

þ

Ringø and Sperstad, unpublished

E. pseudoavium – like Atlantic salmon

A

þ

Ringø and Sperstad, unpublished

Lactococcus spp. Brown trouta Common carp Lac.garvieae – like Common carp Lac. lactis – like Rotiferd Leuconostoc spp. Arctic charr Leu. mesenteroides – like Arctic charr Pediococcus acidilactici – like Common carp Fisha

[26]

þ

þ

[14] [26]

þ

[26]

LAB in Fish and Fish Farming

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E. faecium – like Common carp/prawn E. gallinarum – like Atlantic salmon

[27] A

þ

A

þ þ þ

þ

þ

[28] [4] [26] [29] 585

(continued)

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586

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Table 1 Continued Lactic acid bacteria isolated from Whole intestinal tract

Source Streptococcus spp. Arctic charr

Atlantic salmon Carp Eel, European Eel, Japanese Goldfish Rainbow trout Various salmonids Turbot Yellowtail Giant freshwater prawn Vagococcus spp. Brown trouta Weissella hellencia Flounder

A A A A A A A

Stomach

Large intestine

þ

þ

þ þ þ

þ þ þ þ

þ þ

þ þ

þ

þ

þ þ intestinal content þ Intestinal content þ J L

Small intestine

þ þ þ

Feces

þ þ þ

Gills

Refs.

[33] [34] [35] [28] [4] [16] [7] [119] [120] [121] [122] [121] [31] Ringø, unpublished [123,124] [125] [14]

þ

[84]

a

No further information given. Reclassified from Lb. plantarum to C. divergens.[8] c Isolated from the hindgut chamber. d Isolated from whole animal. A, adult; J, juvenile; F, fry; L, larvae. b

Ringø

LAB in Fish and Fish Farming

587

Hoang-Dung TRAN and friends DNA-DNA similarity,[9] and random amplification of polymorphic DNA (RAPD),[10] have become important tools in the identification of LAB from fish.

A.

Lactobacilli

Some of the gut Lactobacillus spp. cited in the literature and therefore here probably belong to the genus Carnobacterium. Differentiating lactobacilli from carnobacteria can be done according to the following key characteristics: growth on acetate agar (pH 5.4), growth at pH 4.5, growth on CTAS (cresol thallium acetate sucrose) agar (pH 9.1), presence of meso-diaminopimelic acid in the cell wall, lactic acid isomers produced, major C18:1 in the cell wall, GC content, and PCR. Knowledge about lactobacilli on the skin and gills and in the gut of fish was first reported by Dyer in 1947[11] in a study of Atlantic cod (Gadus morhua L.). Fourteen years later, Kraus[12] isolated lactobacilli from herring (Clupea harengus L.). Kvasnikov and coworkers[13] described lactobacilli as a normal part of the microbiota of Cyprinidae, Escocidae, and Percidae at the larval, fry, and fingerling stages. Furthermore, the authors demonstrated seasonal variations of lactobacilli in fingerlings of pond fish such as Cyprinus carpio, Aristichthys nobilis, and Hypophthalmichthus molitrix, with the highest population levels in midsummer. Today, it is well documented that lactobacilli are part of the native intestinal microbiota of Arctic charr (Salvelinus alpinus L.), Atlantic cod, Atlantic salmon (Salmo salar L.), and brown trout (Salmo trutta) (Table 1). However, lactobacilli do not seems to belong to the dominant microbiota in fish. Gonzalez et al.[14] reported that typical lactobacilli accounted for only 0.44% of the LAB isolated from the intestines of wild brown trout. Three of the investigations cited in Table 1 demonstrated the presence of Lactobacillus plantarum – like strains isolated from the alimentary tracts of Arctic charr,[4] saithe (Gadus virens L.),[15] and brown trout.[14] B.

Carnobacteria

The presence of carnobacteria in the digestive tract of fish is well documented (Table 1). In some of these studies, Carnobacterium spp. were reported in hatchery-reared Arctic charr,[4,16,17] rainbow trout (Oncorhynchus mykiss Walbaum),[5,18,19] brown trout,[14] and various fish.[20] Some of these strains probably belong to already known strains. However, as no information beyond biochemical characterization has been done, molecular methods are needed for correct identification. The first study demonstrating the presence of Carnobacterium divergens –like strains in fish was reported by Strøm.[21] She found that the bacterial species was dominant in the gastrointestinal tract (small and large intestine) of juvenile Atlantic salmon, juvenile/adult Atlantic cod, and saithe. Later investigations isolated C. divergens– like strains in the digestive tract of adult Arctic charr,[9,16,22] larvae of Atlantic cod,[23] large intestine and hindgut chamber of adult Atlantic cod,[10] as well as in brown trout[14] and common wolffish (Anarhichas lupus L.).[8] Isolates identified as Carnobacterium funditum – like have only been obtained from the large intestine of Arctic charr fed linseed oil prior to challenge with the fish pathogen Aeromonas salmonicida ssp. salmonicida.[17] One recent study demonstrated Carnobacterium gallinarum –like strains from large intestine and hindgut chamber of Atlantic cod.[10] The presence of Carnobacterium inhibens has been reported in the alimentary tracts of Atlantic salmon[24] and Atlantic cod.[10] Only one Carnobacterium

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Ringø

Hoang-Dung TRAN and friends species is motile—Carnobacterium mobile. Two recent studies reported that C. mobile– like strains colonize the digestive tract of Arctic charr[16] and Atlantic cod.[10] Carnobacterium piscicola has been isolated from the gastrointestinal tract, feces, and gills of several fish species (Arctic charr, Atlantic cod, Atlantic salmon, brown trout, rainbow trout, saithe, and turbot) (Table 1).

C.

Aerococcus

Aerococcus – like strains are rarely isolated from aquatic animals, and only one study has reported their presence in fish gut.[25] Five strains were isolated from Atlantic salmon, but the authors did not present information about the population level, as this study focused on the antagonistic activity of gut bacteria. D.

Enterococcus

Bacteria of the genus Enterococcus have been isolated from the intestine of common carp (Cyprinus carpio) and freshwater prawns (Macrobrachium rosenbergii),[26] brown trout,[14] and Atlantic salmon (Ringø and Sperstad, unpublished data). In common carp, Enterococcus faecium were isolated but in small numbers.[26] These authors suggested that these strains might have a probiotic potential in fish, as the strains could grow at pH 9.6, in 6.5% NaCl, 40% bile, and at high cultivation temperature (508C). However, this controversial hypothesis must be tested in future studies. In their study on freshwater fish, mainly wild brown trout, Gonzalez and coworkers[14] isolated 249 strains of LAB, of which eight strains belong to the genus Enterococcus (six E. durans – like strains and two Enterococcus spp.). E.

Lactococcus

Lactococcus strains have been isolated from some aquatic animals.[14,26,27] F.

Leuconostoc

Bacteria of the genus Leuconostoc have been isolated in two investigations.[4,28] In their study with Arctic charr, Ringø and Strøm[28] showed that approximately 4.5% of the viable counts in feces of fish fed capelin roe diet belong to Leuconostoc. In a later study with Arctic charr fed different polyunsaturated fatty acids, Ringø and coworkers[4] isolated several adherent Leuconostoc mesenteroides –like strains from stomach, small, and large intestine. However, in this study Leu. mesenteroides was not isolated from feces. G.

Pediococcus

In fish, Pediococcus acidilactici – like strains have been isolated in only two studies.[26,30] This species may present some probiotic features, such as bacteriocin production,[30] and recently it was used in combination with Saccharomyces cerevisiae in the enrichment process of Artemia nauplii.[30] H.

Streptococcus

Bacteria of the genus Streptococcus was initially described as a part of the gut microbiota in fish by Trust and Sparrow.[31] Since then, the genus has been isolated from stomach, small, and large intestine of several fish species, and prawn (Table 1).

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Hoang-Dung TRAN and friends

I.

Vagococcus

In fish, this bacterial genus has only been isolated from fish, brown trout, in one study.[14]

J.

Aquatic Habitats of LAB

All reports on the presence of LAB in fish from both freshwater and marine environments suggest that the fish gut may be a natural reservoir for LAB. Other habitats may be other marine animals, sediments, and water. Lactic acid bacteria, like other nonsporogenous bacteria, can survive in the water column. Franzmann and coworkers[32] isolated C. funditum and C. alterfunditum from the water of Ace Lake, Antarctica, and Jo¨born[3] showed that C. inhibens originally isolated from the intestine of Atlantic salmon survived at least 26 days in an artificial seawater solution. These interesting results should encourage microbiologists to carry out further investigations on this topic. In addition to the numerous investigations demonstrating the presence of LAB in the digestive tracts of several different fish species, several studies have reported on the isolation of LAB (carnobacteria, lactobacilli, lactococci, leuconostocs, and pediococci), from cold-smoked and fermented fish (Table 2).

Table 2

Lactic Acid Bacteria Isolated from Cold-Smoked and Fermented Fish

Source Carnobacteria Vacuum-packed cold-smoked salmon Spoiled cold-smoked salmon Lactobacilli Chilled, stretch-wrap-packed Channel catfish Spoiled cold-smoked salmon Fermented fish Low-salt fermented fish products Spoiled, vacuum-packaged, cold-smoked rainbow trout Jeot-gal, a Korean fermented fish food Fermented fish Lactococci Low-salt fermented fish products Jeot-gal, Korean fermented fish food Leuconostoc Spoiled cold-smoked salmon Low-salt fermented fish products Spoiled, vacuum-packaged, cold-smoked rainbow trout

Lactic acid bacteria

Refs.

C. piscicola Carnobacterium spp.

[125] [127]

Lb. plantarum

[128]

Lb. curvatus; Lb. sakei; Lb. plantarum Lb. pentosus; Lb. plantarum Lb. pentosus; Lb. plantarum Lb. plantarum

[127] [129] [130] [131]

Lb. brevis Lb. acidipiscis sp. nov

[132] [133]

Lac. lactis ssp. lactis Lac. lactis

[130] [132]

Leuconostoc spp. Leu. citreum Leu. citreum

[127] [130] [131]

Leu. mesenteroides ssp. mesenteroides Pediococci Low-salt fermented fish products

P. pentosaceus

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[130]

590

II.

Ringø

Hoang-Dung TRAN and friends FACTORS AFFECTING LACTIC ACID BACTERIA IN THE DIGESTIVE TRACT

It is well known that LAB are not under normal circumstances numerically dominant in the digestive tract of fish.[2] However, some attempts have been made to increase the level of lactobacilli and carnobacteria colonizing the gastrointestinal tract by nutritional factors such as (a) chromic oxide,[33 – 35] (b) dietary polyunsaturated fatty acids,[4,36] (c) dietary lipids,[16] (d) dietary lipid sources,[17] and (e) dietary inulin (Ringø, Myklebust, Mayhew, and Olsen, unpublished results). A.

Chromic Oxide (Cr2O3)

Chromic oxide has been one of the most widely used indicators for determining nutrient digestibility in fish,[37,38] and until recently it has been assumed that the compound was inert. However, microbial investigations have clearly demonstrated that by feeding the salmonid fish Arctic charr (Salvelinus alpinus L.) a diet containing chromic oxide, population levels of lactobacilli in gut and fecal samples remained stable while counts of gram-negative bacteria genera declined.[33 – 35] Similar observations were made when gram-negative gut isolates and LAB were grown on tryptic soy agar plates with or without supplements of chromic oxide. The reason for the decline in gram-negatives in the gastrointestinal tract has not been elucidated, but Ringø[34] put forward two hypotheses: (a) chromic oxide affects the attachment sites in the gut mucosa/epithelium or (b) oxidase-positive bacteria may be more sensitive to chromic oxide. Unpublished data by Gislason and Ringø showed that supplementation of chromic oxide increased the intestinal activity of the enzyme cholytaurin hydrolase, possibly through the selection of lactobacilli and streptococci, as demonstrated by Ringø.[34] B.

Dietary Polyunsaturated Fatty Acids

Although fatty acids are important in fish metabolism, few studies have evaluated the effect of dietary polyunsaturated fatty acids on the gut microbiota.[4,36] In a study on the effect of linoleic acid (18:2 n-6) on intestinal microbiota of Arctic charr, Ringø[36] was unable to isolate LAB in the intestinal contents, but large numbers of Aeromonas spp., Pseudomonas ssp., and Enterobacteriaceae were isolated when 2.5% linoleic acid was added to a commercial feed. In contrast to these findings, Lactobacillus spp. accounted for approximately 10% of the microbiota when the fish were fed the unsupplemented diet. In a recent study with Arctic charr fed casein-based diets supplemented with different fatty acids [18:2 n-6, a-linolenic acid (18:3 n-3) or a HUFA mix (20:5 n-3 and 22:6 n-3)], Ringø and coworkers[4] showed no suppression of LAB (Carnobacterium spp., Carnobacterium piscicola, and Lb. plantarum) in the stomach or small or large intestine. However, a significant increase in both total viable counts and population levels of LAB was observed in large intestine and feces of fish fed 7% 18:3 (n-3) or 4% HUFA mix. This was due to a large extent to increased contents of Carnobacterium spp. The reason for the increase in LAB in fish fed 7% linolenic acid and HUFA mix has not been elucidated, but the authors suggest that dietary fatty acids influence intestinal membrane composition, function, and fluidity, which may affect the attachment sites of the gut mucosa. This controversial hypothesis was later confirmed by Kankaanpa¨a¨ and coworkers.[39] They demonstrated that culturing of Caco-2 cells with arachidonic acid (20:4 n-6) reduced the Caco-2 cell adhesion of LAB, whereas 18:3 (n-3) did not

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Hoang-Dung TRAN and friends interfere adhesion of Lactobacillus GG or Lactobacillus bulgaricus and promoted the adhesion of Lactobacillus casei Shirota. In view of the results observed by Ringø and coworkers,[4] it is interesting to note that the ability of C. piscicola – like isolates to inhibit the fish pathogen Aeromonas salmonicida ssp. salmonicida was highest in strains isolated from fish fed linolenic acid or the HUFA mix (Ringø, unpublished data). Based on these results it is recommended that greater attention should be paid to increasing the level of intestinal carnobacteria with inhibitory effect against fish pathogens by dietary manipulation. The results obtained from fish fed dietary 18:3 (n-3) may lead to the conclusion that it is desirable to increase the level of dietary 18:3 (n-3) in commercial diets in order to obtain a higher population level of intestinal strains of C. piscicola able to inhibit the growth of A. salmonicida ssp. salmonicida. However, in this respect it is worthwhile to note that feeding the charr high levels (.15%) of dietary 18:3 (n-3) increased accumulation of lipid droplets in the enterocytes and cell damage, which may increase the risk of microbial infections.[40,41]

C.

Dietary Lipid Levels

Earlier diets for cultured salmonids contained high amounts of carbohydrates (approximately 20% dry weight), but in recent years there has been a tendency towards decreasing dietary carbohydrate content from about 20 to 10%, with a subsequent increase in the level of dietary lipid from ,20 to 30%. Based on this tendency, Ringø and Olsen[16] fed Arctic charr diets containing high (27%) and low (13%) levels of dietary lipid. Dietary manipulation influenced the species composition of carnobacteria, as Carnobacterium spp. and C. mobile– like strains were only isolated from large intestines of fish fed low dietary lipid, while C. piscicola – like strains were isolated from small intestines. C. divergens – like isolates were found associated with small and large intestines of fish fed high dietary lipid.

D.

Different Dietary Lipid Sources

Vegetable oils stand out as the most likely candidates to substitute in part for marine oils in fish feed, as their total global production is approximately 100 times higher than that of fish oils.[42] This is relevant because commercial aquaculture depends on lipids in feed production, but in the future marine lipids may be limited because of increased fish production. Therefore, finding alternatives to dietary marine lipids has become the focus of research aimed at producing stable supplies of commercial diets at reduced prices. As no information was available about how inclusion of plant oils in commercial raw material affects the gut microbiota of fish, Ringø and coworkers[17] investigated the effect of soybean, linseed, and marine oils on the hindgut microbiota of Arctic charr. This study showed clear differences in the hindgut microbiota of fish fed different oils (after and prior to challenge with A. salmonicida ssp. salmonicida). Carnobacteria were isolated from the hindgut region of fish fed soybean oil and linseed oil only before challenge, while Carnobacterium spp. and C. funditum – like strains were isolated from fish fed the same oils after challenge. Furthermore, the ability of carnobacteria to inhibit the growth of A. salmonicida ssp. salmonicida was highest in strains isolated after challenge. Lødemel and coworkers[43,44] clearly demonstrated that survival of Arctic charr after challenge with A. salmonicida ssp. salmonicida was improved by dietary soybean oil.

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Hoang-Dung TRAN and friends

E.

Dietary Inulin

The modern concept of prebiotics implies the use of selective agents to favor the growth of protective indigenous gut microbiota. Dietary fiber is a prebiotic that belongs to the broad category of carbohydrates. Burkitt and coworkers[45] defined dietary fiber as “the sum of polysaccharides and lignin which are not digested by the endogenous secretions of the human gastrointestinal tract.” They can be classified as soluble (e.g., inulin and oligofructose), insoluble (e.g., cellulose), or mixed (e.g., bran). It is well known from endothermic investigations that dietary fibers are fermented by the anaerobic intestinal microbiota, primarily those colonizing the large intestine.[46 – 50] This leads to the production of lactic acid and short-chain fatty acids (acetate, propionate, and butyrate) that are utilized by the host[51] and the production of gases (H2 , CO2 , and CH4).[46] Inulin is a polydisperse carbohydrate consisting mainly of b(2 ! 1) fructosylfructose links, generally referred to as fructan, and is found in various edible fruits and vegetables such as wheat, onions, leeks, garlic, asparagus, artichokes, and bananas.[46,52] Although inulin is not a natural fiber in fish diet, the prebiotic potential of inulin and other dietary fibers may also have interesting applications in aquaculture. Some information is available about fermentation of inulin by fish gut microbiota, notably, Carnobacterium piscicola,[4] C. mobile,[16] and Carnobacterium spp.[8,16] However, it is known that dietary inulin (15% supplement) resulted in damage to intestinal enterocytes of the salmonid fish Arctic charr compared to normal enterocytes from fish fed a 15% supplement of dextrin.[53] On the other hand, more recently it was shown that although the inclusion of dietary inulin did not result in a significant increase in total viable counts, inulin alters the adherent gut microbiota of Arctic charr compared to fish fed dietary dextrin by increasing the proportion of carnobacteria from approximately 5 to 12% of total viable counts (Ringø, Myklebust, and Olsen, unpublished results). F.

Stress

At times of stress, the microbial balance may become disturbed and disordered. Studies undertaken on endothermic animals have reported that chronic stress and social hierarchy formation alter the intestinal microbiota, and the general trend is for the lactobacilli to decrease.[54 – 58] Several studies have dealt with the effect of stress on gut microbiota in fish.[7,22,59,60] Hierarchy formation affected the total population level of intestinal bacteria colonizing the gut and the microbiota of Arctic charr.[22] C. divergens– like isolates were found associated with the large intestine of subordinate fish, while the species were not isolated from the gut of dominant fish. The digestive tract is a system that reacts to stress-like stimuli, but in fish there is little information available on the effect of handling stress on the intestinal microbiota.[7,59] Ringø and coworkers[7] were not able to show any clear effect on the population levels of viable autochthonous aerobic bacteria or population level of carnobacteria. These results contradict findings in endothermic animals that population levels of LAB in the digestive tract decrease during environmental stress. In the work of Ringø and coworkers[7] it was demonstrated that the numbers of C. piscicola – like isolates inhibiting A. salmonicida ssp. salmonicida was highest (37 of 38) in fish sampled prior to stress, while after 11 days of regular daily handling stress only 16 of 37 C. piscicola – like strains inhibit growth of the pathogen. The reason for this difference in the ability to inhibit growth of the fish pathogens in carnobacteria isolates prior to and after stress has not been elucidated and should be a topic of further investigations.

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Hoang-Dung TRAN and friends Olsen and coworkers[60] demonstrated using transmission electron microscopy that both prior to excessive handling and 4 hours poststress, numerous bacteria were recovered between enterocyte microvilli of the midgut of Atlantic salmon. The reason why numerous bacteria were found between the microvilli even 4 hours after extensive handling has not been elucidated, but Olsen and coworkers[60] put forward the hypothesis that peel-off of mucus during stress allows bacteria present in the gut lumen to colonize the area between the microvilli. This controversial hypothesis was confirmed by classical microbial analysis that clearly showed that the population level of adherent microbiota decreased in both midgut and hindgut regions with a concomitant increase in feces poststress. In a study of rainbow trout, Ringø and Olsen (unpublished data) confirmed the results of Olsen and coworkers[60] as they demonstrated by scanning electron microscopy relatively high bacterial colonization of hindgut enterocyte surface prior to extensive handling stress, but 4 hours poststress few bacteria were seen at the enterocyte surface. Elimination of the existing microflora including LAB at the enterocyte surface and the lack of protecting mucus in stressed fish might have relevance in pathogenesis. If some of the existing bacteria present in the lumen are pathogenic, it is not unlikely that they can attack the membrane surface and translocate across the intestinal wall, establishing disease.

G.

Salinity

It is well known that the intestinal microflora of freshwater and seawater fish harbors different microorganisms.[29,61,62] Some reports have described LAB as a part of the intestinal and gill microbiota in seawater fish.[6,7,21,28,35] Generally, 5 –10% of the viable counts of the gut microbiota are lactic acid. In an early study, Strøm[21] found up to 50% lactic acid bacteria in the digestive tract of wild fish, but only 10% in farmed fish. Ringø and coworkers[7] showed that the gut flora of Atlantic salmon consisted of approximately 25% carnobacteria, but in their study a relative low population level (2
103 per gram wet tissue) of viable adherent heterotrophic bacteria was associated with the foregut, midgut, and hindgut. A fundamental question that arises when discussing the protective role of the gastrointestinal microbiota is if salinity can affect the antagonistic effect of the gut microbiota. Ringø[63] evaluated the inhibitory effect of carnobacteria colonizing the hindgut of anadromous Arctic charr migrating from freshwater into seawater and in fish migrating from seawater back to freshwater. He was not able to isolate carnobacteria from fish migrating from freshwater into seawater, but eight strains similar to C. piscicola were isolated from Arctic charr migrating from seawater back to freshwater. These eight strains did not inhibit Aeromonas salmonicida AL 2020, but they did inhibit growth of a Vibrio sp, the causative agent of winter ulcer. Salinity and the difference in species must certainly be taken into consideration when discussing antagonism of carnobacteria and other LAB isolated from aquatic animals. III.

USE OF LACTIC ACID BACTERIA IN AQUACULTURE

Specific bacterial pathogens can be an important cause of mortalities in fish hatcheries, as intensive husbandry practices often result in breakdown of the natural host barriers. Research laboratories and commercial hatcheries have attempted to overcome this problem by disinfection of water supplies and food, stimulation of host resistance, and the prophylactic or therapeutic use of antibiotics. However, the indiscriminate use of antibiotics in disease control in many sections of the aquaculture industry has led to selective

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Hoang-Dung TRAN and friends pressure of antibiotic resistance in bacteria, a property that may be readily transferred to other bacteria.[64 – 67] An alternative approach by which opportunistic infections of fish pathogens may be reduced is manipulation of the gut flora either by incorporating antagonistic bacteria into the diet or by dietary manipulation in order to increase the proportion of health-promoting bacteria in the gut microflora. An advantage of these methods is that they can be implemented during the early stages of development when vaccination by injection is impractical. In this regard, the stability of the antagonistic feature is a very important trait of probiotic LAB. According to Olsson,[68] several turbot (Scophthalmus maximus L.) and Atlantic salmon LAB isolates lost their capacity to inhibit growth of Vibrio anguillarum after being subcultured a limited number of times and stored at 2708C. A similar observation was made by Westerdahl and coworkers,[25] who described that antagonistic activity of several fish intestinal bacteria was rapidly lost after storage and subculturing.

A.

Effects of LAB Administration on Intestinal Microbiota

An important criterion for the use of LAB in commercial aquaculture is the colonization potential of LAB in the fish gut, as Vibrionaceae may persist for days or weeks in fish.[69 – 71] Some studies have suggested that carnobacteria strains are able to survive for several days in the intestine of larval and juvenile fish.[19,23,72,73] Three of these studies[19,72,73] put forward the hypothesis that there is apparently no host specificity with regard to colonization of the fish gut with carnobacteria, unlike in endothermic animals where adhesion of LAB appears to be complicated by host specificity.[74 – 76] However, additional studies have to be carried out to confirm this controversial hypothesis. Numerous studies on endothermic animals have demonstrated that administration of LAB affects intestinal microbiota (for review, Refs.[77 – 80]). However, this effect is less well investigated in fish. Gildberg and Mikkelsen[72] administered two Carnobacterium divergens strains, originally isolated from the intestine of mature Atlantic cod and Atlantic salmon, to Atlantic cod juveniles via feed. When the Atlantic cod isolate was used, LAB were only detected in pyloric ceca, while the concentration of LAB was approximately 10-fold higher in the pyloric ceca than in the intestine when the salmon isolate was used. Transient bacteria may also be efficient if the cells are introduced at high dose. Several investigations conducted during the last two decades have demonstrated that LAB may exert antibacterial effects against undesirable microbes (for review, see Ref.[81]). Based on these results, some investigators have attempted to increase the proportion of LAB associated with the fish digestive tract. In a study with 4-day-old Atlantic cod larvae, Strøm and Ringø[23] used an antagonistic LAB strain, which, when added to the rearing water, favorably influenced the intestinal microbiota of the larvae by increasing the proportion of LAB from approximately 5% to 70% and by a subsequent decrease in the proportion of the bacteria genera Pseudomonas, Cytophaga/Flexibacter, and Aeromonas (Table 3). These results indicate that the LAB were able to colonize and may comprise a major part of the autochthonous microbiota in the gut of the larvae. A similar increase in LAB colonizing the gut was also reported in Atlantic cod fry fed a diet containing C. divergens[82] (Table 3). In a study with Atlantic salmon fry, Gildberg and coworkers[83] demonstrated that administration of LAB reported as Lb. plantarum, but later reclassified as C. divergens,[8] increased the proportion of LAB adherent to intestinal wall from nil to 100% (Table 3).

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Hoang-Dung TRAN and friends Effect of LAB Administration on Intestinal Microbiota Bacterial genera isolated and proportion of microflora population Fish species

LAB used

Atlantic cod—larvae

C. divergens

Atlantic cod—fry

C. divergens

Atlantic salmon— fry

C. divergens

Turbot—larvae Floundera

C. divergens Lactobacillus sp. DS-12

Carpb

S. faecium

Sheat fishc

Ent. faecium

Before administration (control) Pseudomonas 42.5; Cytophaga/ Flexibacter 42.5; Aeromonas 10; C. divergens 5 No information given Pseudomonas, Enterobacteriaceae, grampositive cocci C. divergens n.d Enterobacteriaceae 4.3 (5/5); G(þ) 4.6 (5/5); yeast 4.6 (5/5); hemolytic bacteria 5.8 (2/5); mucoid colony form 4.8 (1/5); aerobes 8.5 (5/5); anaerobes 7.6 (5/5); aerobes 7.3 (5/5); anaerobes 6.6 (5/5) Enterobacteriaceae 6.2; E. coli 4.2; Ent. faecalis 3.3; Staph. aureus 3.7; Bacillus spp. 7.0; Clostridium spp. 2.9 Escherichia coli 3.1; Enterobacteriaceae 3.0; Staph. aureus 4.7 Bacillus 6.0; Clostridium 2.1

After administration

After challenge

Refs.

C. divergens 70; Pseudomonas 20

e

[23]

No information was given

C. divergens 75 Pseudomonas-like 25 Aer. salmonicida 90 C. divergens 10

[82]

C. divergens 100

[83]

C. divergens (8
103) Enterobacteriaceae 4.8 (5/5); G(þ) 4.3 (5/5); Lactobacillus sp. DS-12 7.0 (3/5); Clostridium 4.3 (1/5); yeast 4.3 (1/5); hemolytic bacteria 5.1 (1/5)

e

Enterobacteriaceae 6.2; E. coli n.d; Ent. faecalis 3.5; Staph. aureus 4.0; Bacillus spp. 7.0; Clostridium spp. 2.7 Escherichia coli 1.1; Enterobacteriaceae 1.9; Staph. aureus 1.4; Bacillus 5.6; Clostridium n.d

e

[85]

e

[86]

e

LAB in Fish and Fish Farming

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Table 3

[34] [84]

(continued) 595

Hoang-Dung TRAN and friends

596

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Table 3 Continued Bacterial genera isolated and proportion of microflora population Fish species European eel

LAB used Ent. faecium

Before administration (control)

After administration

Aeromonas hydrophila (18)d; Aeromonas sobria (16); Chryseobacterium meningosepticum (3); Mannheimia haemolytica (3); Pasteurella multocida (12); Plesiomonas shigelloides (37); Pseudomonas aeruginosa (3); Pseudomonas stutzeri (6); Stenotrophomonas maltophila (6); Vibrio spp. (3); Vibrio parahaemolyticus (3)

Aeromonas caviae (4); A. hydrophila (2); Aeromonas sobria (1); Alcaligenes spp. (2); Brevundimonas diminuta (1); Burkholderia cepacia (1); Ent. faecium (73); M. haemolytica (1); P. multocida (2); P. shigelloides (4); P. aeruginosa (6); P. stutzeri (1); S. maltophila (1)

After challenge f

Refs. [87]

a

Data are presented as log 10 and frequency are shown in parentheses. Data are presented as log 10 after 4 weeks of feeding. c Data are presented as log 10 after 58 days of feeding. d Data presented as percentage. e Challenge test not done. f Challenge test with Edwardsiella tarda, but the gut microbiota was not investigated. n.d., not detected. b

Ringø

LAB in Fish and Fish Farming

597

Hoang-Dung TRAN and friends In order to increase the proportion of LAB in the digestive tract, Byun and coworkers[84] evaluated the effect of Lactobacillus sp. DS-12 administration via the feed on the gut microbiota of flounder (Paralichthys olivaceus) after one month of feeding (Table 3). Lactobacillus sp. DS-12 was not detected in the intestine of the control group, but 107 LAB/g were found in the gastrointestinal tract when the fish were fed the LAB-supplemented feed. Some studies have evaluated the effect of commercial LAB preparation (Streptococcus faecium M74, Enterococcus faecium PDFM, and Ent. faecium SF68) on the gut microbiota of fish.[85 – 87] Bogut and coworkers[85] demonstrated that supplementation of 1 g of S. faecium M74 per 100 kg feed influenced the intestinal microbiota of 0þ Israeli carp (Cyprinus carpio) to some extent.[85] While Escherichia coli disappeared from the intestinal microbiota of the fish after 14 days by feeding the probiotic preparation (Table 3), the population levels of Enterobacteriaceae, Ent. faecalis, Staph. aureus, Bacillus spp., and Clostridium spp. were not reduced as a result of including S. faecium in the diet.[85] The authors suggested a high adhesive quality in the epithelium of carp digestive tract for S. faecium. However, as they only isolated the allochthonous intestinal microbiota, convincing experimental evidence was not provided. Bogut and coworkers[86] evaluated the effect of Ent. faecium PDFM on the intestinal microbiota of Sheat fish (Silurus glanis). In this study, the fish were exposed to Ent. faecium by including the bacteria in the diet. After approximately 2 months of feeding, some interesting differences in the intestinal microbiota were observed between the two rearing groups. Ent. faecium administration decreased the population level of Staph. aureus, E. coli, and other bacteria of the family Enterobacteriaceae and resulted in complete elimination of Clostridium spp. (Table 3). Recently Chang and Liu[87] investigated the effect of two probiotic bacterial strains, Ent. faecium SF68 and Bacillus toyoi, on the gut microbiota of European eel. The authors claimed that Ent. faecium SF68 began to colonize the intestine on day 4 postinoculation and that the numbers of Ent. faecium SF68 reached approximately 2
105 on day 14, constituting 73% of the culturable gut microbiota. As a natural consequence of this increase, the population levels of other gut bacteria such as Aeromonas hydrophila, Aeromonas sobria, Plesiomonas shigelloides, Vibrio spp., including Vibrio parahaemolyticus, were significantly reduced. A detailed description of the intestinal gut microbiota prior to and after supplement of Ent. faecium SF68 is shown in Table 3. These results are certainly interesting, but in future studies the autochthonous microbiota, those colonizing the mucus and the area between the intestinal enterocyte microvilli, should be investigated. When dealing with the potential of probiotics (for example lactic acid bacteria) in aquaculture the fundamental question arises whether it is possible to colonise and maintain the probiotic bacteria within the digestive tract. This is particularly important when longterm exposure may be required for the probiotic effect. In this respect, electron microscope investigations are a useful tool.[88] Figure 1 shows several rod-shaped bacterial profiles associated with microvilli in the hindgut chamber of Atlantic cod. As a pure culture of LAB (Carnobacterium ssp., C. piscicola, C. mobile, and C. gallinarum) was isolated in the hindgut chamber,[10] it is suggested that the bacterial profile seen in Figure 1 are LAB. However, this hypothesis must be tested in future studies. Knowledge about the nutritional contribution of LAB to the production rate of rotifer, Brachionus plicatilis, has been evaluated.[89 – 91] However, control of the microbiota of rotifer cultures has received less attention.

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Hoang-Dung TRAN and friends

Figure 1

Transmission electron microscopy micrograph of the hindgut chamber of Atlantic cod (Gadus morhua L.). Profiles of several bacteria (arrows) are seen between the microvilli (MV). (Adapted from Ref.[10]).

Probiotics, microorganisms, or their products with health benefit to the host have found use in aquaculture as a means of disease control, supplementing or even replacing the use of antimicrobial compounds. A wide range of microalgae (Tetraselmis), yeasts (Debaryomyces, Phaffia, and Saccharomyces) and several gram-positive and gramnegative bacteria has been evaluated. Readers with special interest in the prospects of probiotics in aquaculture are referred to recent reviews on this topic.[1,20,92 – 94]

B.

Effects of LAB Administration on Survival and Growth of Fish

During the last decade some research has been conducted on the effect of lactic acid bacteria administration on survival[73,83,95 – 97] and growth of fish[30,83,85,96,98,101] (Table 4). Garcia de la Banda and coworkers[95] claimed that administration of commercial preparations of live lactic acid bacteria (Lactococcus lactis and Lb. bulgaricus) via enrichment of rotifer and Artemia increased survival of turbot larvae 17 days after hatching. Accelerated growth of Sheat fish after Ent. faecium M-74 administration was also reported by Hama´ckova´ and coworkers.[96] Ottesen and Olafsen[97] working with Atlantic halibut (Hippoglossus hippoglossus L.) larvae demonstrated that Lb. plantarum [originally isolated from the adherent gut microbiota of Atlantic cod[21]] administration, 106 per mL, to the culture water improved larval survival. At day 12 posthatching (the first critical stage of initial feeding), larval survival was approximately 96% compared to 81.5% survival in the control group (not exposed to LAB). This positive trend in the LAB rearing

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Hoang-Dung TRAN and friends

Effect of LAB Administration on Survival and Growth

LAB isolate used Survival Lac.lactis and Lb. bulgaricus

Host

Effect

Ent. faecium M-74 Lb. plantaruma

Sheat fish, fry Atlantic halibut, larvae

C. divergensb

Turbot, larvae

Addition to culture water

Turbot, larvae

Enrichment of rotifer

Enhanced growth

[91]

Catla Nile tilapia, fry

Addition to diet Addition to diet

Enhanced growth Enhanced growth

[99,100] [101]

Pollack, larvae Sheat fish, fry Israeli carp, adult Israeli carp, juvenile

Enrichment of Artemia Addition to diet Addition to diet Addition to diet

[30] [96] [98] [85]

Sheat fish, juvenile Atlantic salmon, fry Flounder, juvenile

Addition to diet Addition to diet Addition to diet

Enhanced growth Enhanced growth Enhanced growth Enhanced growth and feed conversion Enhanced growth No significant effect on growth Varied results

Ent. faecium C. divergensb Lactobacillus sp. DS-12

Increased survival of larvae 17 days after hatching Increased survival Increased survival of larvae 2 weeks after hatching No significant effect on larval survival

Refs.

Enrichment of rotifers and Artemia Addition to diet Addition to culture water

Growth Str. thermophilus, Lb. helveticus or Lb. plantarum Lb. coagulans and S. cerevisiae Lb. acidophilus and Str. thermophilus P. acidilactici Ent. faecium M-74 Ent. faecium Ent. faecium

Turbot, larvae

Way of administration

[95] [96] [97]

LAB in Fish and Fish Farming

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Table 4

[34]

[86] [83] [84]

a

Isolated from Atlantic cod;[21] reclassified from Lb. plantarum to C. divergens.[8] Isolated from Atlantic salmon.[21]

b

599

600

Ringø

Hoang-Dung TRAN and friends group was also observed later in the rearing period, after 32 days. At this time, larval survival was significantly higher in the rearing group incubated with Lb. plantarum (68.4%) compared to the control group (58.2%). Contrary to these results, Ringø[73] did not observe any positive effect on survival of turbot larvae exposed to C. divergens (originally isolated from Atlantic salmon) compared to larvae not exposed to lactic acid bacteria (control). Commercial preparations of Ent. faecium seem to improve growth and feed efficiency of Israeli carp[85,98] and Sheat fish.[96] In contrast, Gildberg and coworkers[83] included a C. divergens strain (originally isolated from Atlantic salmon) in the diet, but no increased growth of Atlantic salmon fry as a result of LAB administration was observed. In their study on flounder (Paralichtys olivceus), the synergistic effect of Lactobacillus coagulans and S. cerevisiae increased the growth rate of tropical freshwater fish larvae and fry.[99,100] Byun and coworkers[84] checked the feeding effects of Lactobacillus sp. DS-12 on fish body weight in two feeding trials. In the first trial, a significant effect of lactic acid bacteria administration seems to be observed. However, the second experiment showed no significant differences between the rearing groups, although there was a tendency to greater increase in body weight as a result of LAB administration. In a recent study with larval pollack (Pollachius pollachius), Gatesoupe[30] concluded that P. acidilactici is a promising probiotic, as the best growth results were obtained when Artemia had been fed with P. acidilactici. No increase in the growth rate of the rotifers was observed after addition of Lac. lactis AR21 through the diet under optimal conditions.[27] Under a suboptimal feeding regime where the food was reduced to 45%, Lac. lactis counteracted the growth inhibition of rotifers due to V. anguillarum in two of the three experiments performed. However, the authors recovered neither Lac. lactis nor V. anguillarum from the rotifer after 24 hours.

C.

Challenges In Vivo

The major factors involved in the biocontrol of bacterial pathogens in the gastrointestinal tract are primarily those regulating the composition, functions, and interactions of indigenous microbial populations with the animal tissues. This concept is supported by repeated observations that strains of transient enteropathogens can colonize intestinal habitats of endothermic animals. The fact that fish contain intestinal microbiota with antagonistic effects against fish pathogens (for review, see Refs.[88,94]) has prompted investigators to conduct challenge experiments with LAB.[20,27,72,82,83,102,103] However, conflicting mortality results were reported in these studies when comparing the control group with probiotic treatment (Table 5). Gatesoupe[102] suggested that in vivo experiments with turbot larvae using rotifers grazed on LAB strains (resembling those of Lb. plantarum or Carnobacterium sp.) improved disease resistance in challenge tests with a pathogenic vibrio (V. splendidus strain VS11). However, the results reported in this study were registered after 48 and 72 hours, beyond which the mortality pattern was not discussed. In three later papers, Gildberg and coworkers[72,82,83] used two LAB strains originally isolated from Atlantic salmon and Atlantic cod by Strøm.[21] These two isolates were recently identified by 16S rDNA and AFLPTM fingerprinting as C. divergens.[8] In challenge trials with cohabitants with the fish pathogen A. salmonicida ssp. salmonicida, Gildberg and coworkers,[83] in contrast to expectations, registered the highest mortality of Atlantic salmon fry in fish

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Hoang-Dung TRAN and friends

Challenge Tests of Fish with Lactic Acid Bacteria

LAB isolate used

Host

Pathogen

Way of administration

Effect in challenge test

Suggested mode of action Antagonism and/or improved nutritional value of rotifers

Carnobacterium spp.a

Turbot, larvae

V. splendidus

Enrichment of rotifers

þ

C. divergensb C. divergensc

Atlantic salmon, fry Atlantic cod, juveniles Atlantic cod, fry Atlantic cod, fry Rainbow trout

A. salmonicida V. anguillarum

Addition to the diet Addition to the diet

2 þ

V. anguillarum V. anguillarum A. salmonicida

Addition to the diet Addition to the diet Addition to the diet

þe 2 þ

Rainbow trout Rainbow trout

A. salmonicida A. salmonicida

Addition to the diet Addition to the diet

þ þ

C. divergensb C. divergensc Carnobacterium BA211 C. inhibens Lb. rhamnosusd

Not specified Antagonism

Refs. [102]

LAB in Fish and Fish Farming

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Table 5

[83] [82] [72] [72] [20] [20] [103]

þ, improved disease resistance; 2, no significant effect. a Isolated from rotifer. b Isolated from intestine of Atlantic salmon.[21] c Isolated from intestine of Atlantic cod.[21] d A probiotic for human use. e Twelve days after infection significant reduced cumulative mortality was recorded in fish given feed supplemented with C. divergens isolated from Atlantic salmon, but no effect was detected 4 weeks after infection.

601

602

Ringø

Hoang-Dung TRAN and friends given the diet containing C. divergens, originally isolated from Atlantic salmon intestine. In their study with Atlantic cod fry, Gildberg and Mikkelsen[72] observed the same cumulative mortality whether the C. divergens isolates supplemented to the commercial feed were originally isolated from the digestive tract of Atlantic cod or Atlantic salmon when the fish were bath-exposed to V. anguillarum. On the other hand, improved disease resistance of Atlantic cod fry was observed when supplementing a commercially dry feed with a strain of C. divergens originally isolated from cod.[82] No explanation for these conflicting results has been given. Gildberg and Mikkelsen[72] put forward a hypothesis that bacteriocin production can be inducible and may not occur if the bacteria are not frequently challenged with inhibitors, as previously demonstrated by Schrøder and coworkers.[15] Recently, Nikoselainen and coworkers[104] investigated the potential probiotic properties of several LAB intended for human or animal use by studying their capacities of adhesion and penetration into fish mucus, their inhibitory effect against fish pathogens and their resistance to fish bile. Furthermore, Nikoselainen and coworkers[103] used the human probiotic Lb. rhamnosus (ATCC 53103) in a challenge test with A. salmonicida ssp. salmonicida with promising results (Table 5). These results should stimulate fish microbiologists to use human probiotic lactic acid bacteria in future studies. In their study with rainbow trout fingerlings fed Carnobacterium BA211 and C. inhibens for 14 days, Irianto and Austin[20] showed marked reduction in mortalities compared with controls in a challenge experiment with A. salmonicida. It is well known that rotifers are often suspected of being a vector for bacterial infections to the predating organisms.[105 – 108] It is therefore surprising that studies dealing with the proliferation of larval pathogens in rotifer cultures are so scarce.[27,91] Gatesoupe[91] reported that the proliferation of A. salmonicida that accidentally appeared in the experimental rotifer culture was inhibited by treatment with Lb. plantarum. Hazevili and coworkers[27] reported that administration of the probiotic strain Lac. lactis AR21 under suboptimal feeding regime counteracted the growth inhibition of the rotifers due to V. anguillarum.

IV.

ANTAGONISM OF LAB FROM AQUATIC ANIMALS

The ability of LAB to produce antibacterial substances has long been used to preserve foods. Since the days of Metchnikoff, efforts have been made to improve the normal microbiota of the intestine of endothermic animals using LAB.[80,109 – 112] During the last two decades, numerous experiments have evaluated the ability of LAB (lactobacilli, carnobacteria, enterococci, lactococci, and streptococci) isolated from several fish species and live food (Brachionus plicatilis) to inhibit the growth of obligate pathogenic bacteria, and antagonism seems to be common among LAB. Based on these results, Ringø and coworkers[81] suggested that LAB along with other bacteria that belong to the indigenous microbiota of aquatic animals are an important part of the defense mechanism against fish pathogens. Although antagonism is demonstrated under laboratory conditions, such results do not necessarily mean that antagonism is an important mechanism in the natural environment of the microorganisms. The important question to be asked is whether such inhibitory substances result in competitive advantages in the fish gut. Readers with special interest in the antagonistic activity of LAB isolated from aquatic animals are referred to a recent review.[81]

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V.

PATHOGENIC LACTIC ACID BACTERIA

Lactic acid bacteria have received attention from fishery microbiologists during the last decade because of the increasing interest in their use as potential probiotics and because they are generally considered to be nonpathogenic. However, disease outbreaks caused by LAB have been documented for more than four decades; the involved organisms include Lactobacillus, Carnobacterium, Enterococcus, Lactococcus, Streptococcus, and Vagococcus. Readers with special interest in pathogenic lactic acid bacteria are referred to Ringø and Gatesoupe[2] and Austin and Austin.[113] VI.

CONCLUSIONS AND FUTURE PERSPECTIVES

Numerous investigations have demonstrated that the genera Lactobacillus, Carnobacterium, Aerococcus-like, Enterococcus, Lactococcus, Leuconostoc, Pediococcus, Streptococcus, Vagococcus, and Weissella belong to the normal microbiota of the gastrointestinal tract in healthy fish. However, it is well known that the population level of lactic acid bacteria associated with the digestive tract is affected by nutritional (chromic oxide, polyunsaturated fatty acids, lipid levels, lipid source, and inulin) and environmental (stress and salinity) factors. Furthermore, the effect of LAB administration on intestinal microbiota, in vivo challenge tests, and the use of commercial preparations of live LAB in aquaculture have been described in several papers. Further studies on the effect of LAB administration on fish gut microbiota should include molecular approaches to analyze bacterial communities as described for endothermic animals. As conflicting results have been reported in in vivo challenge tests, further studies are needed to clarify whether LAB have a positive effect on fish welfare. It is generally accepted that the gastrointestinal tract is one of the major infection routes in fish.[88] Based on this fact, one might hypothesize that the autochthonous microbiota associated closely with the intestinal epithelium forms a barrier, serving as the first defense to limit direct attachment to or interactions of pathogenic bacteria with the mucosa. Even though several studies have shown antimicrobial qualities of LAB isolated from different fish species,[81] much work is still needed to clarify if LAB associated closely with the intestinal epithelium form a barrier to limit direct attachment of pathogens in the fish gut. REFERENCES 1. Verschuere, L.; Rombout, G.; Sorgeloos, P.; Verstraete W. Probiotic bacteria as biological control agents in aquaculture—a review. Microbiol. Mol. Biol. Rev. 2000, 64, 655 – 671. 2. Ringø, E.; Gatesoupe, F.-J. Lactic acid bacteria in fish: a review. Aquaculture 1998, 160, 177 – 203. 3. Jo¨born, A.; Olsson, J.C.; Westerdahl, A.; Conway, P.L.; Kjelleberg, S. Colonization in the fish intestinal tract and production of inhibitory substances in intestinal mucus and faecal extracts by Carnobacterium sp. strain K1. J. Fish Dis. 1997, 20, 383 – 392. 4. Ringø, E.; Bendiksen, H.R.; Gausen, S.J.; Sundsfjord, A.; Olsen, R.E. The effect of dietary fatty acids on lactic acid bacteria associated with the epithelial mucosa and from faecalia of Arctic charr, Salvelinus alpinus (L.). J. Appl. Microbiol. 1998, 85, 855 – 864. 5. Jo¨born, A.; Larsson, T.; Karlsson, H.; Karlsson, K.-A.; Kahnberg, P.; Sterner, O.; Conway, P.L.; Kjelleberg, S. Inhibition of the growth of bacterial fish pathogens by low molecular weight components produced by Carnobacterium inhibens isolated from the intestine of Atlantic

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6. 7.

8.

9.

10.

11. 12. 13. 14.

15.

16. 17.

18.

19. 20. 21.

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Fricourt, B.V.; Barefoot, S.F.; Testin, R.F.; Hayasaka, S.S. Detection and activity of plantaricin-F an antibacterial substance from Lactobacillus plantarum BF001 isolated from processed channel catfish. J. Food Prot. 1994, 57, 698 –701. Tanasupawat, S.; Okada, S.; Komagata, K. Lactic acid bacteria found in fermented fish in Thailand. J. Gen. Appl. Microbiol. 1998, 44, 193 – 200. Paludan-Muller, C.; Huss, H.H.; Gram, L. Characterization of lactic acid bacteria isolated from a Thai low-salt fermented fish product and the role of garlic as substrate for fermentation. Int. J. Food Microbiol. 1999, 46, 219 – 229. Lyhs, U.; Bjo¨rkroth, J.; Korkeala, H. Characterisation of lactic acid bacteria from spoiled, vacuum-packaged, cold-smoked rainbow trout using ribotyping. Int. J. Food Microbiol. 1999, 52, 77– 84. Lee, N.K.; Jun, S.A.; Ha, J.U.; Paik, H.-D. Screening and characterization of bacteriocinogenic lactic acid bacteria from jeot-gal, a Korean fermented fish food. J. Microbiol. Biotechnol. 2000, 10, 423– 428. Tanasupawat, S.; Shida, O.; Okada, S.; Komagata, K. Lactobacillus acidipiscis sp. nov. and Weissella thailandensis sp. nov., isolated from fermented fish in Thailand. Int. J. Syst. Evolution Microbiol. 2000, 50, 1479– 1485.

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Hoang-Dung TRAN and friends

22 Future Aspects of Research and Product Development of Lactic Acid Bacteria SEPPO SALMINEN and ARTHUR C. OUWEHAND University of Turku, Turku, Finland ATTE VON WRIGHT University of Kuopio, Kuopio, Finland CHARLES DALY University College Cork, Cork, Ireland

I.

INTRODUCTION

Research on lactic acid bacteria (LAB), during recent years has been dominated by advances in molecular biology and the application of the latest genetic and molecular biological tools in both the fundamental and applied areas. These advances have increased our understanding of their taxonomy, metabolism, and interactions with other microbes and, in probiotic applications, ultimately with the host. Especially in the field of probiotics, findings that were only anticipated a few years ago have materialized and more breakthroughs in other areas are to come. The following projections are based on our impressions from the literature, experience, and comparison of the results and claims presented recently.

II.

FUNDAMENTAL RESEARCH ASPECTS

The turbulent situation regarding the taxonomy of the actual lactic acid bacteria has stabilized, but within bifidobacteria the situation is still unclear. Undoubtedly much attention

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Hoang-Dung TRAN and friends will be focused on this field in the future. Proper taxonomy is a fundamental aspect of the understanding of phylogenetic relationships between species and genera. This, in turn, is of relevance to both the traditional applications of lactic acid bacteria and new potential uses (Fig. 1). Regarding bifidobacteria and, to some extent, enterococci, one can only hope that the application of new molecular taxonomic criteria gradually calms the field down and the degree of confusion that many researchers now feel changes to new confidence and better understanding and characterization of the organisms studied. The main break through in the genetics of LAB during recent years has been the advancement of genomics. The total genome sequences of several species are already known, and more will become available. This will undoubtedly enhance our knowledge and understanding of the metabolic potential of LAB, the extent of horizontal gene transfer among them, and their ecological role. The detailed sequence information now available paves the way for subsequent analysis of gene expression at both the transcriptional and translational levels, eventually facilitating the deduction of full metabolic profiles of these organisms in the condition of interest. This information is of relevance also when considering the safety aspects of lactic acid bacteria, i.e., the presence or absence of virulence factors, transmissible antibiotic-resistance genes, or unwanted metabolic activities. The interaction of LAB with the host microbiota and the physiology, nutrition, and metabolism of higher animals, as well as their role in health and disease, is an area of much speculation. However, new and rigorous studies have started to shed light on this much contested field. Needless to say, understanding these phenomena is a prerequisite for their efficient application.

Figure 1

Interaction between different new and emerging technologies for the future investigation of lactic acid bacterium functionality.

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III.

FUTURE APPLICATIONS

The successes of fundamental research are reflected in the number of applications LAB already have, as well as some totally new industrial uses they may possess. The following list is by no means exhaustive and contains only some of the most obvious ideas that the current state of knowledge allows. It is quite likely that the real breakthroughs are still in the mind of some imaginative inventor outside the common and well-trod paths of research and product development (Fig. 1). A.

Dairy Industry

One of the main technological developments within the dairy industry has been the replacement of traditional starter systems by new starter concentrates and the direct vat set (DVS) concept. This technology requires long-term optimization of each strain to the system, which will be facilitated by the knowledge from the previously described developments in basic research. Despite the advances in dairy technology, bacteriophages remain a significant problem. Better understanding of the molecular biology of bacteriophages and phage-resistance mechanisms together with technology developments will help to eliminate phage-related problems. Although combating phages is a never-ending battle, genetic means of phage control have already shown their value. Accelerated cheese ripening, control of proteolysis, optimized carbohydrate utilization, and flavor development should also be possible when genetic modification techniques reach the point where they are both ethically and legally acceptable and approved by consumers. B.

Other Industrial Applications

The many kinds of antimicrobial substances produced by several species and strains of lactic acid bacteria could offer alternatives to chemical food additives used to control pathogenic or otherwise harmful contaminants in food. In fermented foods the strains producing antimicrobials could be used themselves, while in other food products isolated and purified antimicrobial substances could be added. Knowing the genetic basis of the synthesis of bacteriocins opens new possibilities to increase their production on an industrial scale. The success of nisin as a food additive is an encouraging example of the potential in this field. Although new bacteriocins must be evaluated for safety as food additives, the long history of safe human consumption of LAB should make this assessment less costly and laborious than that of purely man-made food chemicals. With the rapid development of genetic modification of lactic acid bacteria, their potential as production hosts for heterologous proteins in the food and feed industry should also be considered. It should be noted that LAB with new enzymatic activities could have advantages in many of their traditional applications, even though the production of enzymes themselves would not reach levels sufficient to make their production profitable on an industrial scale. As with the dairy applications of genetically modified bacteria, it is of course necessary to ensure that the eventual processes and products are both safe and ethically and legally acceptable. Advances in the genomic and physiological research of LAB should also improve the selection criteria for strains used in the different processes. As this approach does not involve actual genetic engineering, but is a continuation of traditional technological

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Hoang-Dung TRAN and friends product development with modern methods, there should not be any regulatory delays to adapt these techniques.

C.

Human and Animal Probiotics

From the studies reviewed in this volume it can be concluded that actual beneficial health effects are associated with certain LAB strains. In addition to prophylactic uses, human therapeutic bacterial preparations may be aimed at special groups, such as patients with pseudomembraneous colitis, viral diarrhea, or recurrent gastrointestinal infections, in whom conventional medication might cause undue stress. The demonstration of probiotic effects on the level of host microbiota has been greatly enhanced by new molecular biological techniques to detect and identify microbial species and genera that are difficult or impossible to cultivate. Exact identification of probiotic strains in fecal and clinical samples helps to elucidate the extent of bacterial colonization and interaction with the host. With the increased understanding of human molecular biology and recent advances in bioinformatics, it should be possible to study probiotic-host interactions at the level of gene expression in the host. When probiotic effects have been demonstrated, it can be expected that the underlying mechanisms will be elucidated. This, in turn, will make it possible to design probiotic strains with specific targeted functions. An example of this kind of approach is the Lactococcus lactis engineered to produce IL-10.[1] This strain has been effective in suppressing experimental colitis in mice, and investigations on its efficacy in humans have been approved. Other examples with promising results include the use of genetically modified LAB as vehicles for oral vaccines.[2] Because these particular applications are for the treatment and cure of specific diseases, their acceptance by consumers is probably more likely than in the case of genetically modified foods. Probiotics are also increasingly used as animal feed additives. Antibiotics in animal feeds present risks in the form of transmissible resistance factors endangering human and veterinary chemotherapy, and they are being phased out as zootechnical feed additives in the EU. Thus, there is a need for alternatives, which probiotics could provide. The future of this approach will very much depend on the regulatory developments in the area. The stringency of requirements for quality, efficacy, and especially safety of probiotic preparations will naturally determine the pace with which new products will enter the market. Here, as in the case of human probiotics, the question of acceptable claims should be solved. In the cases of successful animal probiotics, increased productivity is probably often a result of reduced morbidity and mortality. However, claiming these kinds of effects might lead to classification of the product as a veterinary pharmaceutical and hence make it subject to an even more demanding approval procedure. Whether probiotics are intended for use in humans or animals, it is the responsibility of the regulatory bodies as well the scientific community and marketing companies to ensure that the claims associated with those preparations are as rigorously tested as those of ordinary medicines. The effects are there. What remains is to find the best methods to select beneficial strains or strain combinations as well as to define formulations preserving those properties. IV.

CONCLUSIONS

Lactic acid bacteria have an long history in human cultural traditions. Until recently these organisms have been performing simple and basically similar tasks, differing only in scale

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Hoang-Dung TRAN and friends and precision, as they did thousands of years ago. We hope that this volume convinces the reader that new and novel applications based on a better understanding on the potential of lactic acid bacteria in biotechnology, and especially of their role in promoting health and combating disease, are emerging. The potential significance more than justifies multidisciplinary research in this field, with targets in both food and feed development and promoting human and animal health and well-being.

REFERENCES 1.

2.

Steidler, L.; Neirynck, S.; Huyghebaert, N.; Snoeck, V.; Vermeire, A.; Goddeeris, B.; Cox, J.; Remon, J.R.; Remaut, E. Biological containment of genetically modified Lactococcus lactis for intestinal delivery of human interleukin 10. Nat. Biotechnol. 2003, 21, 785 – 789. Grangette, C.; Mu¨ller-Alouf, H.; Geoffroy, M.-C.; Goudercourt, D.; Turneer, M.; Mercenier, A. Protection against tetanus toxin after intragastric administration of two recombinant lactic acid bacteria: impact of strain viability and in vivo persistance. Vaccine 2002, 20, 3304– 3309.

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